Product Guide Continence, Ostomy, Skin and Wound Care Effective September 2014

Transcription

1 Product Guide Continence, Ostomy, Skin and Wound Care Effective September 2014

2 A legacy of personal care Coloplast is among the world s leading manufacturers of intimate healthcare products through a philosophy that has served us well for many decades. We listen carefully to people with conditions of a very private nature. We understand their personal needs. Then we create innovative solutions that make a significant difference in their lives. It began more than 50 years ago when a nurse named Elise Sørensen came up with an ingenious idea after her sister Thora had ostomy surgery. She created the world s first disposable ostomy bag with an adhesive ring. It gave Thora the chance to live a normal life again. That simple idea led to the formation of Coloplast and it has evolved into a multitude of ostomy care products for a wide range of needs. Coloplast has also expanded to become a leader in urology and continence care products as well as wound and skin care products. Today, our passion for excellence has not waned. We still listen to people with intimate conditions and the professionals who care for them. And we dedicate ourselves to finding solutions that improve their quality of life. That is what made us a global leader in ostomy products. It is how we will continue to lead well into the future. 3

3 Table of Contents Continence Care 7-44 Straights Coudes Closed Systems / Sets Anal Irrigation Male External Catheters Leg and Drain Bags Indwelling Catheters Accessories Discontinued Products Wound Care Foam Dressings Alginate Dressings Skin Sealant / Hydrocolloid Dressings...55 Hydrocolloid Dressings...56 Hydrophilic Paste / Wound Cleansers / Hydrogels...57 Contact Layer...58 Super Absorbents...59 Discontinued Products...60 Skin Care Cleansers Moisturizers Skin Protectants Antifungals...72 Skin Fold Management...73 Hand Hygiene...74 Accessories...75 Discontinued Products Ostomy Care Accessories Piece Click Piece Flex Piece Post-op / Wound Management Pediatric Discontinued Products

4 Reference Tools Education Continence Care Ostomy Care Wound & Skin Care Cross Reference Continence Care Ostomy Care Skin Care Wound Care Medicare Utilization Continence Ostomy Wound Care HCPCS Codes Index 229

5 Product Guide Continence Care Effective September 2014 Continence

6 Continence Important safety information SpeediCath Catheters are indicated for use by patients with chronic urine retention and patients with a post void residual volume (PVR) due to neurogenic and nonneurogenic voiding dysfunction. The catheter is inserted into the urethra to reach the bladder allowing urine to drain. There is a separate SpeediCath Compact Set device intended for either males or females only. This is a single-use only product. Patients are to contact their healthcare professional before performing self-cathetherization for the first time and follow the instructions carefully. See the device manual for further information or, call Coloplast Corp. at and/or consult the company website at Rx Only. Self-Cath Plus Intermittent Urinary Catheters are intended for use in male or female patients requiring bladder drainage as determined by their physician. This device is indicated for those individuals unable to promote a natural urine flow or for those who have a significant volume of residual urine following a natural bladder voiding episode. The device can be used by the patient once appropriate training has taken place or by a trained healthcare professional. Single-use only. See the device manual for detailed information regarding the procedure, contraindications, warnings, precautions, and potential complications/adverse events. For further information, call Coloplast Corp. at and/or consult the company website at www. coloplast.us. Rx Only. Self-Cath Catheters are intended for use in male, female, and pediatric patients (neonates, infants, children, adolescents, and transitional adolescents) requiring bladder drainage as determined by their physician. This device is indicated for those individuals unable to promote a natural urine flow or for those individuals who have a significant volume of residual urine following a natural bladder-voiding episode. Singleuse only. See the device manual for detailed information regarding the procedure, contraindications, warnings, precautions, and potential complications/adverse events. For further information, call Coloplast Corp. at and/or consult the company website at Rx Only. SureCath Catheters are indicated for use by patients for intermittent catheterization for the purpose of bladder drainage. See the device manual for detailed information regarding the instructions for use, contraindications, warnings, precautions, and potential complications/adverse events. For further information, call Coloplast Corp. at and/or consult the company website at Rx Only. Indications: The Peristeen Anal Irrigation System is intended to instill water into the colon through a rectal catheter, which incorporates an inflatable balloon, inserted into the rectum to promote evacuation of the contents of the lower colon. The Peristeen Anal Irrigation System is indicated for use by children (2 years - <12 years old), adolescent (12 years - < 18 years old), transitional adolescent (18 - <21 years old) and adult patients with neurogenic bowel dysfunction who suffer from fecal incontinence, chronic constipation, and/or time-consuming bowel management procedures Contraindications: Peristeen Anal Irrigation must not be used in the following situations: Known obstruction of the large bowel due to strictures or tumors Acute inflammatory bowel disease Diverticulitis Complex diverticular disease Abdominal or anal surgery within the last 3 months In patients who are pregnant and have not used the system before* *If the patient is pregnant and has never used anal irrigation before, they should not start the irrigation procedure during pregnancy Warning: Anal irrigation procedure should always be carried out with care. Bowel perforation is an extremely rare, but serious and potentially lethal complication to anal irrigation and will require immediate admission to a hospital, often requiring surgery. See the device manual for detailed information regarding the implant procedure, contraindications, warnings, precautions, and potential complications/adverse events. For further information, call Coloplast Corp at or consult the company website at Rx Only. For important information regarding the use of HCPCS codes listed and code definitions, please see page 224. Ensure your patients get the product you recommend. Ask for SpeediCath and Self-Cath by name. Catheter users who have insurance can pay the same price when buying any catheter within the same category: straight, 1 coudé, 2 or catheter sets HCPCS A4351 (straight)** 2. HCPCS A4352 (coudé)** 3. HCPCS A4353 (catheter set)** DAW* No Substitution * Dispense as written; exact language to specify brand dispensed varies by state. Contact your Coloplast Sales Rep or National Association of Boards of Pharmacy for more information. Advise your patients to find a supplier who takes assignment for the catheter you prefer by contacting Coloplast Consumer Care at Steps to ensuring patients get the catheter they want: 1. Include the following on each prescription: Patient Name Address Rx SpeediCath Compact Set Dx: Urine retention 5 catheters / day x 30 days / month = 150 catheters / month Not Valid Type of catheter (straight, coudé, kit / closed system) Brand of catheter Do not refill Frequency of catheterizations / day and total catheters needed / month M.D Refill Times D.E.A Number Date Print Last Name 2. Enroll your patients in Coloplast Care Call - contact Coloplast Care at send request to [email protected] Fax - send patient enrollment form to * For important information regarding the use of HCPCS codes listed and code definitions see page 224 For important safety information see page 8 9

7 Straights SpeediCath The world s first ready-to-use hydrophilic-coated catheter Easy to carry, store and use. The catheter comes prehydrated in a ready-to-use package. Therefore; no need to wait for the catheter to hydrate. Hydrophilic coating is smooth and uniform for minimal friction. Polished eyelets for comfort. Uncoated Grip Zone area for control in handling. This device is not made with natural rubber latex and is DEHP and phtalate free. SpeediCath Compact and SpeediCath Compact Plus The compact ready-to-use hydrophilic-coated catheter for women Ready-to-use hydrophilic-coated catheter designed for females. SpeediCath Compact Plus is about an inch longer for those women who need a little more length to reach their bladder. Compact discreet packaging makes it easy to store and carry. This device is not made with natural rubber latex and is DEHP and phtalate free. Straights SpeediCath Single Units SpeediCath catheter only. No insertion supplies. Straights Code Size Units Description HCPCS* FR 30 14" length A FR 30 14" length A FR 30 14" length A FR 30 14" length A FR 30 14" length A FR 30 14" length A4351 SpeediCath Compact Single Units SpeediCath Compact catheter only. Female FR 30 6" length A FR 30 6" length A FR 30 6" length A FR 30 6" length A FR 30 6" length A FR 30 6" length A4351 Code Size Units Description HCPCS* FR " length A FR " length A FR " length A FR " length A4351 SpeediCath Compact Plus SpeediCath Compact Female with additional catheter length for women who want discretion but require a longer catheter. Code Size Units Description HCPCS* FR " length A FR " length A FR " length A4351 Pediatric FR 30 6" length A FR 30 6" length A FR 30 6" length A FR 30 10" length A FR 30 10" length A FR 30 10" length A FR 30 10" length A * For important information regarding the use of HCPCS codes listed and code definitions see page 224 For important safety information see page 8 11

8 Straights Self-Cath Plus for Intermittent Self-Catheterization The hydrophilic coating activates immediately upon exposure to water. The Self-Cath Plus has a unique, uncoated Grip Zone area for control in handling. This device is not made with natural rubber latex. Self-Cath Single-use catheters designed for intermittent selfcatheterization Self-Cath uncoated catheters have fire-polished eyelets for comfort, a siliconized surface for smooth insertion, and are available in a variety of options. This device is not made with natural rubber latex. Straights Self-Cath Plus Hydrophilic-coated catheter. Straight Code Size Units Description HCPCS* FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A4351 Female FR 30 6" length, funnel end A FR 30 6" length, funnel end A FR 30 6" length, funnel end A4351 Self-Cath Straight Tip The Self-Cath Straight Tip catheter with fire-polished eyelets and a siliconized surface for smooth insertion. Code Size Units Description HCPCS* FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 50 16" length, funnel end, A4351 curved packaging FR 50 16" length, funnel end, curved packaging A4351 Pediatric FR 30 10" length, funnel end A FR 30 10" length, luer end A FR 30 10" length, luer end A4351 Self-Cath Female The Self-Cath Female catheter has been designed for the shorter female urethra. Code Size Units Description HCPCS* FR 30 6" length, funnel end A FR 30 6" length, funnel end A FR 30 6" length, funnel end A FR 30 6" length, funnel end A FR 30 6" length, luer end A4351 Self-Cath Plus Soft Code Size Units Description HCPCS* FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A4351 Self-Cath Soft The Self-Cath Soft catheter is a softer, clear, catheter that is firmer than a red rubber catheter for easy insertion. Code Size Units Description HCPCS* FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A4351 Self-Cath Pediatric Self-Cath Pediatric catheters have been designed to accurately fit pediatrics. Code Size Units Description HCPCS* FR 30 10" length, funnel end A FR 30 10" length, funnel end A FR 30 10" length, luer end A FR 30 10" length, luer end A4351 * For important information regarding the use of HCPCS codes listed and code definitions see page 224 For important safety information see page 8 13

9 Coudes SpeediCath The world s first ready-to-use hydrophilic-coated catheter Easy to carry, store and use. The catheter comes prehydrated in a ready-to-use package. Therefore; no need to wait for the catheter to hydrate. Hydrophilic coating is smooth and uniform for minimal friction. Polished eyelets for comfort. Uncoated Grip Zone area for control in handling. This device is not made with natural rubber latex and is DEHP and phtalate free. Self-Cath Single-use catheters designed for intermittent selfcatheterization Self-Cath catheters have fire-polished eyelets for comfort, a siliconized surface for smooth insertion, and are available in a variety of options. This device is not made with natural rubber latex. Coudes SpeediCath Tapered Tip Coudé Code Size Units Description HCPCS* FR 30 14" length A FR 30 14" length A FR 30 14" length A FR 30 14" length A4352 The Guide Stripe indicator allows for monitoring of the catheter tip position throughout the catheterization process. The eyelets have been repositioned to the sides of the catheter. Self-Cath Olive Tip Coudé with Guide Stripe Code Size Units Description HCPCS* FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A4352 Self-Cath Plus for Intermittent Self-Catheterization The hydrophilic coating activates immediately upon exposure to water for fast, clean lubrication and maximum ease of use. The Self-Cath Plus has a unique, uncoated Grip Zone area for total control in handling. This device is not made with natural rubber latex. Self-Cath Plus Olive Tip Coudé with Guide Stripe Self-Cath Tiemann/Tapered Tip Coudé with Guide Stripe Code Size Units Description HCPCS* FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A4352 Code Size Units Description HCPCS* FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A4352 Self-Cath Plus Tapered Tip Coudé with Guide Stripe Code Size Units Description HCPCS* FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A FR 30 16" length, funnel end A4352 * For important information regarding the use of HCPCS codes listed and code definitions see page 224 For important safety information see page 8 15

10 Closed Systems / Sets SpeediCath Compact Set An instantly ready-to-use hydrophilic catheter in a compact design with an integrated bag for both males and females. It is discreet and easy to use. This device is not made with natural rubber latex and is DEHP and phtalate free. SpeediCath Compact Set Female Code Size Units Description HCPCS* FR " length A FR " length A FR " length A4353 Male FR " length A4353 SpeediCath with Insertion Supplies The world s first ready-to-use hydrophilic-coated catheter SureCath Set for Intermittent Self-Catheterization Hydrophilic-coated catheter set with sterile solution enclosed in a single-use, ready-to-use collection bag. This device is not made with natural rubber latex. SureCath Set with Insertion Supplies SureCath Set catheter and collection bag, one pair of exam gloves, one CSR wrap and two iodine prep pads. Straight Tip 700mL Code Size Units Description HCPCS* FR 20 14" length A S 8 FR " length A S 10 FR " length A S 12 FR " length A S 14 FR " length A S 16 FR " length A4353 Straight Tip 1200mL FR 20 14" length A FR 20 14" length A S 14 FR " length A S 16 FR " length A4353 Closed Systems / Sets Easy to carry, store and use. The catheter comes prehydrated in a ready to use package. Therefore; no need to wait for the catheter to hydrate. Hydrophilic coating is bound to catheter. polished eyelets for comfort. Uncoated Grip Zone area for total control in handling. This device is not made with natural rubber latex and is DEHP and phtalate free. SureCath Set without Insertion Supplies Straight Tip 700mL Code Size Units Description HCPCS* FR 20 14" length A S 8 FR " length A S 10 FR " length A S 12 FR " length A S 14 FR " length A S 16 FR " length A4353 Straight Tip 1200mL FR 20 14" length A FR 20 14" length A S 10 FR " length A S 12 FR " length A S 14 FR " length A S 16 FR " length A4353 SpeediCath with Insertion Supplies SpeediCath catheter with one pair of non-latex exam gloves, one waterproof drape, two iodine prep pads and urine collection bag. Straights Code Size Units Description HCPCS* FR " length A FR " length A FR " length A FR " length A FR " length A FR " length A4353 Female FR 100 6" length A FR 100 6" length A FR 100 6" length A FR 100 6" length A FR 100 6" length A FR 100 6" length A4353 * For important information regarding the use of HCPCS codes listed and code definitions see page 224 For important safety information see page 8 17

11 Closed Systems / Sets Self-Cath Closed System for Intermittent Self-Catheterization The Self-Cath Closed System is a unisex closed system for catheterization. The ring on the cap makes it easy to remove and the EasyOff tear tab makes the bag easier to empty. This device is not made with natural rubber latex. Self-Cath Closed Systems with Insertion Supplies Self-Cath pre-lubricated catheter, gloves, 1100 ml seamless collection bag, povidone-iodine swabsticks, BZK wipe (towelette), underpad and instructions for use. Straight Tip Code Size Units Description HCPCS* FR 50 16" length A FR 50 16" length A FR 50 16" length A FR 50 16" length A FR 50 16" length A4353 Self-Cath Closed System Single Units Self-Cath pre-lubricated catheter and 1100 ml collection bag only. No additional insertion supplies. Straight Tip Code Size Units Description HCPCS* FR 50 16" length A FR 50 16" length A FR 50 16" length A FR 50 16" length A FR 50 16" length A4353 Female FR 50 6" length A4353 Soft FR 50 16" length A4353 Olive Tip Coude with Guide Stripe FR 50 16" length A FR 50 16" length A4353 Tapered Tip Coude with Guide Stripe FR 50 16" length A4353 Closed Systems / Sets Female FR 50 6" length A4353 Soft FR 50 16" length A4353 Olive Tip Coude with Guide Stripe FR 50 16" length A FR 50 16" length A4353 Tapered Tip Coude with Guide Stripe FR 50 16" length A4353 * For important information regarding the use of HCPCS codes listed and code definitions see page 224 For important safety information see page 8 19

12 Anal Irrigation Peristeen makes a difference Peristeen Anal Irrigation Peristeen is an innovative anal irrigation system from Coloplast for people who suffer from fecal incontinence or chronic constipation. Using Peristeen minimizes the likelihood of involuntary bowel leakage. The system has been specially designed to make it portable and easy to use. This offers independence and a sense of security to the user. In clinical trials with patients with spinal cord injuries, the Peristeen system reduced fecal incontinence and constipation and improved quality of life. 1 Anal Irrigation Peristeen Anal Irrigation Code System 1 control unit 1 bag (with lid) 2 leg straps 1 toiletries bag Want to learn about a new bowel management system? Accessory unit 15 standard size rectal catheters 1 bag (no lid) Introducing Peristeen Anal Irrigation Strap 1 set of 2 leg straps For people who suffer from fecal incontinence (leaking) or chronic constipation from neurogenic bowel syndrome, using Peristeen minimizes the likelihood of involuntary bowel leakage. To learn more visit Tube 2 tubes with blue connectors Accessory unit 15 small size rectal catheters 1 bag (no lid) FDA approved. Application for HCPCS* code pending. Available via prior authorization process for Medicaid and private insurance. 1. Christensen P et al. A randomized, controlled trial of transanal irrigation versus conservative bowel management in spinal cord injured patients. Gastroenterology 2006; 131: * For important information regarding the use of HCPCS codes listed and code definitions see page 224 For important safety information see page 8 21

13 Male External Catheters Male External Catheters (Condom Catheters) Coloplast offers a complete line of latex and non-latex male external catheters. A variety of adhesive styles, sheath lengths and one- and two-piece configurations are designed to suit a variety of end-user needs. A complete incontinence system can be achieved by combining a Coloplast male external catheter and a Coloplast leg bag. Conveen Optima Self-adhering silicone catheter is packaged in a discreet, recyclable smart pack. Easy-on application is both simple and trouble-free with the double-grip strip. The triple-action anti-leak system with anti-kink bellow, sure-grip ribs and push ring ensures maximum security to our collection bag. The comfortable wear silicone is soft and breathable, and the balanced adhesive provides reliability and skin friendliness. Not made with natural rubber latex. Standard Length Code Size Units HCPCS* Freedom Clear The Freedom Clear catheter offers a silicone sheath designed for comfortable, everyday wear. It features an anti-kink resevoir designed to prevent urine backflow. Not made with natural rubber latex. Code Size Units HCPCS* mm 100 A mm 100 A mm 100 A mm 100 A mm 100 A4349 Conveen Security+ Self-Sealing Male External Catheter A self-sealing male external catheter features a placement ring to assist with anatomical positioning and an anti-kink reservoir designed to prevent urine backflows. Integrated skin-friendly adhesive is gentle yet stays in place. Pull-tab enables easy application. Transparent to allow easy monitoring of the skin. Not made with natural rubber latex. Male External Catheters mm 30 A mm 30 A mm 30 A mm 30 A4349 Sport Length mm 30 A mm 30 A mm 30 A mm 30 A4349 Code Size Units HCPCS* mm 35 A mm 35 A mm 35 A mm 35 A mm 35 A H 25 mm 100 A H 30 mm 100 A H 35 mm 100 A H 40 mm 100 A4349 Freedom Clear Advantage with Aloe The Clear Advantage catheter is a premium, self-adhering, silicone catheter designed for maximum wear time. It features aloe in the adhesive and an anti-kink reservoir designed to prevent urine backflow. Not made with natural rubber latex. Code Size Units HCPCS* mm 100 A4349 Freedom Clear LS The Freedom Clear LS (Long Seal) is designed with a longer-length adhesive seal on a thin silicone sheath, providing added security and comfort. Features an anti-kink reservoir designed to prevent urine backflow. Not made with natural rubber latex mm 100 A mm 100 A mm 100 A mm 100 A mm 30 A mm 30 A mm 30 A4349 Code Size Units HCPCS* mm 100 A mm 100 A mm 100 A mm 100 A mm 100 A mm 30 A mm 30 A4349 * For important information regarding the use of HCPCS codes listed and code definitions see page

14 Male External Catheters Freedom Clear SS The Freedom Clear SS (Sport Sheath) offers a thin, brief silicone sheath for less roll-up at the base of the catheter. It is a good choice for individuals with penis retractions. Features an anti-kink reservoir designed to prevent urine backflow. Not made with natural rubber latex Code Size Units HCPCS* mm 100 A mm 100 A mm 100 A mm 100 A4349 Freedom Cath Freedom Cath catheter is a self-adhering, one-piece latex catheter for secure everyday use. Combines a comfortable latex sheath with a wide, watertight adhesive seal. Anti-kink reservoir prevents backflow of urine. Code Size Units HCPCS* mm 100 A mm 100 A4349 Manhood Absorbent Pouch Manhood Absorbent Pouch is designed for light to moderate incontinence. Using a super-absorbent polymer, the pouch can hold 250 ml of liquid. Code Size Units HCPCS* 4200-B 250 ml 30 One size fits most Conveen Security + Leg Bags Features a discreet design and color scheme to be less visible under clothing. Two types are available, clamp or lever tap, anti-kink tubing, soft cloth backing, straps and extended outlet tubing for urine emptying process. Conveen Security+ Leg Bag Secure and reliable urine collection bag with anti-kink tubing to prevent accidental leakage. Free of PVC and phthalates. Leg and Drain Bags mm 100 A mm 100 A mm 30 A4349 Code Size Units Description HCPCS* Non-Sterile mm 30 A mm 30 A mm 30 A4349 Freedom Active Cath Active Cath catheter is a self-adhering, extended wear, one-piece latex catheter. Combines a shortened latex sheath with a wide, watertight adhesive seal. Anti-kink reservoir designed to prevent urine backflow oz. (500 ml) cm, clamp, flocked backing, straps oz. (1000 ml) cm, clamp, flocked backing, straps Sterile oz. (500 ml) 10 6 cm, lever tap, straps oz. (500 ml) cm, lever tap, straps A4358 A4358 A4358 A4358 Code Size Units HCPCS* mm 100 A mm 100 A mm 100 A oz. (1000 ml) 10 6 cm, lever tap, straps oz. (1000 ml) cm, lever tap, straps A4358 A mm 100 A4349 Freedom Gizmo The Gizmo male external catheter is a latex catheter with a single-sided adhesive strip. It features a pure, soft, natural latex-reinforced funnel end with an anti-kink reservoir designed to prevent urine backflow. No adhesive comes into contact with skin. Code Size Units HCPCS* mm 100 A mm 100 A mm 100 A * For important information regarding the use of HCPCS codes listed and code definitions see page

15 Leg and Drain Bags Security+ Contoured Leg Bag with Non-Latex Fabric Leg Bag Straps Deluxe leg bag with pre-attached, adjustable, anti-kink tubing. Secure, user-friendly closure, soft cloth backing, anti-reflux valve, and chambered panels for discretion and low profile. Not made with natural rubber latex. Code Size Units Description HCPCS* oz. (600 ml) 10 Medium with A " tubing oz. (600 ml) 10 Medium with A " tubing, Sterile oz. (800 ml) 10 Large with 18" tubing A4358 Reusable Latex Leg Bags Only the Coloplast Alpine Leg Bag has the patented KRAYLEX odor barrier, offset port options and integrated loops providing total confidence and comfort. Alpine Reusable Leg Bag Code Capacity Port Size HCPCS* Sport/Small Leg and Drain Bags Security+ Extra Large Drainage Bag Extra-large drainage bag with anti-reflux valve, volume markings and soft cloth backing. Secure, user-friendly closure. Not made with natural rubber latex. Code Size Units Description HCPCS* oz. (1500 ml) 10 Extra Large with A " tubing Moveen Drainage Bag Large volume (2 liters) bedside drainage bag. Non-sterile package includes 30 bags and tubes and 3 hangers. Sterile package includes 10 bags and 2 hangers. Not made with natural rubber latex. Code Size Units Description HCPCS* liters 30 Non-Sterile A liters 10 Sterile A R or L 15 oz. Offset R or L 11 x 4" (27.9 x 10.2 cm) Short Wide oz. Straight 13 x 5" (33 x 12.7 cm) Long Slim R or L 26 oz. Offset R or L 20 x 5" (50.8 x 12.7 cm) Large oz. Straight 17 x 5" (43.2 x 12.7 cm) Extra Large oz. Straight 20 x 5" (50.8 x 12.7 cm) A5112 A5112 A5112 A5112 A5112 Conveen Active Leg Bag The Conveen Active Leg bag provides a reliable and discreet solution for patients. It wraps around the thigh with the bag facing inward for minimal visibility, even when wearing shorts. The bag s fabric fastening system enables hassle-free fitting and keeps the bag in place, even during sport activities. Not made with natural rubber latex. Code Size Units Description HCPCS* oz. (250 ml) 30 Non-sterile A * For important information regarding the use of HCPCS codes listed and code definitions see page

16 Indwelling Catheters Cysto-Care Folysil 100% Silicone Indwelling Catheters. Folysil 2-way Pediatric Code Maximum Balloon Capacity Size Description Units HCPCS* Straights AA cc 6 FR 12" length 5 A4344 AA cc 8 FR 12" length 5 A4344 AA cc 10 FR 12" length 5 A4344 Coudé AA cc 8 FR 12" length 5 A4340 AA cc 10 FR 12" length 5 A4340 Open-tip AA cc 8 FR 10" length 5 A4344 AA cc 10 FR 12" length 5 A4344 Folysil 2-way Straight Maximum Balloon Code Capacity Size Description Units HCPCS* AA cc 12 FR 16" length 5 A4344 AA cc 14 FR 16" length 5 A4344 AA cc 16 FR 16" length 5 A4344 AA cc 18 FR 16" length 5 A4344 AA cc 20 FR 16" length 5 A4344 AA cc 22 FR 16" length 5 A4344 AA cc 24 FR 16" length 5 A4344 AA 6C18 30 cc 18 FR 16" length 5 A4344 AA 6C20 30 cc 20 FR 16" length 5 A4344 AA 6C22 30 cc 22 FR 16" length 5 A4344 AA 6C24 30 cc 24 FR 16" length 5 A4344 Folysil 2-way Coude Maximum Code Capacity Size Description Units HCPCS* AA cc 12 FR 16" length 5 A4340 AA cc 14 FR 16" length 5 A4340 AA cc 16 FR 16" length 5 A4340 AA cc 18 FR 16" length 5 A4340 AA cc 20 FR 16" length 5 A4340 AA cc 22 FR 16" length 5 A4340 AA cc 24 FR 16" length 5 A4340 Folysil 2-way Open Tip Maximum Code Capacity Size Description Units HCPCS* AA cc 12 FR 16" length 5 A4344 AA cc 14 FR 16" length 5 A4344 AA cc 16 FR 16" length 5 A4344 AA cc 18 FR 16" length 5 A4344 AA cc 20 FR 16" length 5 A4344 AA cc 22 FR 16" length 5 A4344 AA cc 24 FR 16" length 5 A4344 Indwelling Catheters * For important information regarding the use of HCPCS codes listed and code definitions see page

17 Accessories Intermittent Catheter Accessories Intermittent Catheter Extension Tube Code Size Units HCPCS* " 12 A4331 Alpine Quick Valve Code Size Units HCPCS* " 1 A4335 Bag Hanger Reusable, sturdy, plastic drainage bag hanger secures tubing and ensures bag stability. Accessories Male External Catheter/Bag Accessories Code Size Units HCPCS* 5070 One size 1 A4421 Deluxe Leg Bag Straps Stretchable Velstretch. Not made with natural rubber latex. Code Size Units HCPCS* " 2 A5114 Security+ Fabric Leg Bag Straps Soft, reusable, elastic fabric straps. Not made with natural rubber latex. Code Size Units HCPCS* " length 10 pair A5114 Comfort Leg Bag Straps Adjustable/Stretchable. Not made with natural rubber latex. Code Size Units HCPCS* " 2 A5114 Clear Tube and Connector Kit Not made with natural rubber latex. Code Size Units HCPCS* " 1 kit A4331 Alpine Fresh Cleaner For use with Alpine reusable leg bags. Code Units Size/Description HCPCS* fl. oz. bottle A5131 Alpine Deluxe Leg Bag Straps The Alpine Leg Bag includes two latex straps. However, for added comfort and even distribution of weight, Coloplast recommends Alpine Deluxe Leg Bag Straps, which are not made with natural rubber latex. They are gentle on the skin, reusable and washable. Plus, their unique finger loop allows for ease of use. Code Size Units Description HCPCS* Combination 2 1 small & 1 medium A * For important information regarding the use of HCPCS codes listed and code definitions see page

18 Discontinued Products Conversion sheet: Intermittent Catheters Convert from Code Size Units Convert to Code Size Units Cysto-Care Red Rubber Latex Urethral Catheter Folysil 2-way Indwelling Catheter UC FR 10 AA 6108 pediatric 8FR 5 UC FR 10 AA 6110 pediatric 10FR 5 UC FR 10 AA FR 5 UC FR 10 AA FR 5 UC FR 10 AA FR 5 UC FR 10 AA FR 5 UC FR 10 AA FR 5 UC FR 10 AA FR 5 UC FR 10 AA FR 5 Cysto-Care Coude/Tiemann Red Rubber Latex Urethral Catheter Folysil 2-way Coude UC FR 10 AA FR 5 UC FR 10 AA FR 5 UC FR 10 AA FR 5 UC FR 10 AA FR 5 Convert from Code Size Units Convert to Code Size Units UC FR 10 AA FR 5 UC FR 10 AA FR 5 Cysto-Care Closed System Single Units CS 0120 CS 0140 CS 0160 Cysto-Care Closed System with Insertion Supplies CS 1120 CS 1140 CS 1160 Self-Cath Coude Self-Cath Coude with Guide Stripe FR FR FR FR FR FR FR FR 30 Discontinued Products

19 Discontinued Products Convert from Code Size Units Convert to Code Size Units Self-Cath Female Coude, Olive-Tip Self-Cath Coude, Olive-Tip FR FR FR FR 30 SpeediCath Complete SureCath Set Single FR S 10 FR FR FR FR FR 20 w/ Acc FR S 10 FR FR S 12 FR FR S 14 FR 100 SpeediCath Compact w/ Acc. SpeediCath Compact/ SpeediCath Female w/ Acc FR or FR 30 or FR or FR 30 or FR or FR 30 or FR or FR 30 or 100 Convert from Code Size Units Convert to Code Size Units SureCath Set SureCath Set 20/box FR /box 28005S 8 FR FR S 10 FR FR S 12 FR FR S 14 FR 100 Self-Cath Hydrogel Self-Cath Closed System/Self-Cath Straight Tip FR 50 Closed System Singles 1108 or FR 50 or FR or FR 50 or FR or FR 50 or FR or FR 50 or FR or FR 50 or 30 Straight Tip (Kit) FR 50 Closed System Kits 1008 or FR 50 or FR or FR 50 or FR or FR 50 or FR or FR 50 or FR or FR 50 or 30 Discontinued Products

20 Discontinued Products Convert from Code Size Units Convert to Code Size Units Conveen Ultra Secure Self-Sealing MEC Conveen Optima Sport Length mm mm mm mm mm mm mm mm 30 Conveen Security+ MEC and Liner Conveen Security+ Self-Sealing MEC mm mm mm mm mm mm mm mm mm mm H 25 mm H 25 mm H 30 mm H 30 mm H 35 mm H 35 mm H 40 mm H 40 mm 100 Convert from Code Size Units Convert to Code Size Units Conveen Latex Self-Sealing MEC Freedom Cath mm mm mm mm mm mm mm mm mm 35 n/a 5200H 25 mm mm H 30 mm mm H 35 mm mm 100 Conveen Latex MEC and Liner Gizmo Latex MEC mm mm mm mm mm mm mm 35 n/a 5130H 30 mm mm H 35 mm mm H 40 mm 100 n/a Discontinued Products

21 Discontinued Products Convert from Code Size Units Convert to Code Size Units Net Pants 5606 Large 100 n/a 5607 Extra Large 100 n/a Freedom Clear Freedom Clear 30/box mm /box mm mm mm mm mm mm mm mm mm 100 Freedom Clear SS Conveen Optima mm mm 30 Uro-San Plus Freedom Cath mm mm mm mm mm mm 100 Convert from Code Size Units Convert to Code Size Units Conveen UltraSecure Conveen Optima Sport 100/box 22011H 21 mm mm H 25 mm mm H 30 mm mm H 35 mm mm 30 Conveen Security + Self-Sealing MEC Conveen Security + Self-Sealing MEC 100/box 5221H 21 mm /box mm 35 Conveen Latex MEC and Liner Freedom Cath 35/box mm 35 Freedom Cath mm /box 5120H 20 mm mm 100 Security + MEC and Liner Security + MEC and Liner Discontinued Products

22 Discontinued Products Convert from Code Size Units Convert to Code Size Units Freedom Leg Bags - Fas-Tap Conveen Sec + Lever Singles ml ml ml ml 1 Kits ml ml ml ml 1 Freedom Comfort Strap T-Tap Drainage Leg Bags Conveen Sec + Clamp ml ml ml ml 1 Freedom Comfort Strap T-Tap Drainage Leg Bags Conveen Sec + Lever ml ml ml ml 1 Freedom T-Tap Drainage Leg Bag Kit Conveen Sec + Clamp ml ml ml ml 1 Convert from Code Size Units Convert to Code Size Units Freedom Twist Drainage Port Legs Conveen Sec + Lever ml ml ml ml 1 Freedom Twist Drainage Port Leg Kits Conveen Sec + Clamp ml ml ml ml ml ml 1 Security+ Leg with Non-Latex Fabric Leg bag straps Conveen Sec + Clamp ml ml ml ml ml ml ml ml 1 Freedom Fas-Tap Drainage Port Leg Bags Conveen Sec + Lever Singles ml ml ml ml 1 Kits ml ml ml ml 1 Discontinued Products

23 Discontinued Products Convert from Code Size Units Convert to Code Size Units Cysto-Care 2-way Coude/Tiemann Indwelling Catheter Folysil 2-way Coude UC FR 10 AA FR 5 UC FR 10 AA FR 5 UC FR 10 AA FR 5 UC FR 10 AA FR 5 UC FR 10 AA FR 5 UC FR 10 AA FR 5 UC FR 10 AA FR 5 Cysto-Care 3-way Irrigation Indwelling Catheter Folysil 3-way Neo Bladder UC FR 10 n/a UC FR 10 n/a UC FR 10 n/a Convert from Code Size Units Convert to Code Size Units UT cc 20 N/A UT cc 20 N/A UT cc 20 N/A Drip Collector Manhood Absorbent Pouch ml B 250 ml ml B 250 ml 30 EZ-Hold N/A Adjustable Leg Strap with Tube 1" 1 Holder 4060 Deluxe Leg Bag Straps Comfort Leg Bag Straps " " 2 Adhesive Remover 8oz Adhesive Remover oz Wipes 50 Discontinued Products

24

25 Product Guide Wound Care Effective September 2014 Wound

26 Wound Important safety information Biatain Ag Foam Adhesive and Non-Adhesive Dressings are indicted for wounds with moderate to high amounts of exudates, including leg ulcers and Category II-IV pressure ulcers and for second-degree, donor sites, diabetic foot ulcers, post-operative wounds and skin abrasions with delayed healing due to bacteria, or where there is a risk of infection. The dressings may be used to support moist wound healing in patients who are in treatment for a local or systemic infection under the discretion of a healthcare professional and are suitable for use in combination with compression therapy. Depending on prognosis of wound, Biatain Ag may be used throughout the healing process to provide protection for the indicated types of wound. Biatain Ag foam filler/cavity is indicated for deep exuding wounds including leg, ulcers, pressure ulcers, diabetic foot ulcers and acute wounds. Biatain dressings are single-use only. See the device manual for detailed information regarding complete instructions, contraindications, warnings, precautions, and potential adverse events. For further information, call Coloplast Corp. at and/or consult the company website at Wound Dressing Selection: 4-Quad Wound Mangement System Four quadrants of drainage and depth standardize the routine dressing decisions Ensure every wound gets the right dressing Coloplast dressings enable a simple formulary Biatain Silicone Ag Foam Dressings are indicated for use in the management of moderately to highly exuding leg ulcers and pressure ulcers. The dressing can also be used for 2nd degree burns, donor sites, post operative wounds and skin abrasions. Biatain dressings are single-use only. See the device manual for detailed information regarding complete instructions, contraindications, warnings, precautions, and potential adverse events. For further information, call Coloplast Corp. at and/or consult the company website at Biatain Alginate Ag Dressings are indicted for wounds with moderately to heavily exuding partial to full thickness wounds such as post operative wounds, trauma wounds, leg ulcers, pressure ulcers, diabetic ulcers, postoperative wounds and skin abrasions with delayed healing due to bacteria, or where there is a risk of infection. The dressings may be used to support moist wound healing in patients who are in treatment for a local or systemic infection under the discretion of a healthcare professional; are suitable for use in combination with compression. The Biatain dressings are singleuse only. See the device manual for detailed information regarding complete instructions, contraindications, warnings, precautions, and potential adverse events. For further information, call Coloplast Corp. at and/or consult the company website at www. coloplast.us. Comfeel Plus Transparent Dressings may be used for superficial burns, superficial partial-thickness burns, donor sites, post-operative wounds and skin abrasions. Do not use on third degree burns. This product is single use only. See the device manual for detailed information regarding complete instructions, contraindications, warnings, precautions, and potential adverse events. For further information, call Coloplast Corp. at and/or consult the company website at Caution: Federal law (USA) restricts this device to sale by or on the order of a physician. For important information regarding the use of HCPCS codes listed and code definitions, please see page * For important information regarding the use of HCPCS codes listed and code definitions see page 224 For important safety information see page 46 47

27 Biatain Foam Dressings are unique in their ability to manage low-to-high levels of wound exudate across a variety of wound types. 3D Polymer foam structure absorbs and locks away exudate without sticking to the wound bed. Highly permeable top film layer allows for optimal moist wound environment and protects from water and external contaminants. Broad range of non-adhesive and adhesive options, including specialized shapes for the heel and sacrum. Not made with natural rubber latex (sterile). Foam Dressings Biatain Silicone. It s all in the foam. The superior absorption and fluid handling properties of Biatain Silicone ensures the optimal management of exudate. The unique 3D foam structure absorbs the exudate vertically and locks the fluid away within its structure, while leaving the wound moist for optimal wound healing conditions. With Biatain Silicone you get: superior absorption easy application soft and flexible fit The Biatain Silicone family also includes: Biatain Silicone Ag - sustained release of silver Biatain Silicone Lite - for increased mobility Exceptional Conformability When managing exudate the Biatain Silicone foam conforms closely to the wound bed for superior absorption and retention- even under compression. Biatain Silicone Foam Dressing Conforms to the wound bed for superior absorption 1 even under body pressure Soft and flexible dressing with a silicone adhesive for easy removal with minimal damage or irritation to the skin 2 Code Size Units HCPCS* x 3" (7.5 x 7.5 cm) 10 A x 4" (10 x 10 cm) 10 A x 5" (12.5 x 12.5 cm) 10 A x 6" (15 x 15 cm) 5 A x 7" (18 x 18 cm) 5 A6213 Exudate Level Biatain Silicone Lite Foam Dressing Same benefits as Biatain Silicone Thinner foam for increased mobility Ideal for hard-to-dress areas or frequent dressing changes Code Size Units HCPCS* x 3" (7.5 x 7.5 cm) 10 A x 4" (10 x 10 cm) 10 A x 5" (12.5 x 12.5 cm) 10 A6212 Exudate Level For more information about Biatain Silicone call or visit 1. Anderson K, et al. A randomized, controlled study to compare the effectiveness of two foam dressings in the management of lower leg ulcers. OWM. 2002:48(8): Cooper P. Biatain Silicone: an atraumatic foam dressing for local exudate management. Wounds UK. 2010:6(4): * For important information regarding the use of HCPCS codes listed and code definitions see page 224 For important safety information see page 46 49

28 Unique foam structure manages moderate-to-high wound exudate levels and protects the sacral area Hydrocolloid border optimizes adhesion Soft and flexible dressing with beveled edges Ideal for compression wraps and fragile skin Code Size Units HCPCS* Code Size x 2 3 4" (5 x 7 cm) 10 A * 9 x 9" (23 x 23 cm) 3410* 4 x 4" (10 x 10 cm) 10 A * 6 x 6" (15 x 15 cm) 5 A x 8" (20 x 20 cm) 5 A6211 Units HCPCS* 5 A6213 Exudate Level Exudate Level Foam Dressings Foam Dressings Biatain Sacral Foam Dressing Biatain Non-Adhesive Foam Dressing Biatain Ag Foam Dressings combine optimum exudate absorptive capacity with controlled ionic silver-release technology. The dressings demonstrate in-vitro antibacterial activity in certain strains known to be detrimental to wound healing such as MRSA and VRE.1 Clinical evidence shows a 45-56% ulcer size reduction within 4 weeks.2-5 Not made with natural rubber latex (sterile). Biatain Soft-Hold Foam Dressing Skin-friendly contact adherent provides a third hand during dressing changes Helps minimizes adhesive trauma, easy to apply and remove Manages moderate-to-high wound exudate levels Code Size Units HCPCS* x 2 3 4" (5 x 7 cm) 5 A x 4" (10 x 10 cm) 5 A x 6" (15 x 15 cm) 5 A6210 Exudate Level Biatain Adhesive Foam Dressing Optimal absorption and retentive foam with skin-friendly, hydrocolloid-based adhesive border Hydrocolloid border reduces need for secondary dressing Biatain Ag Non-Adhesive Foam Dressing Combines effective antimicrobial technology with effective exudate management Manages moderate-to-high wound exudate levels Ideal under compression Code Size Units HCPCS* x 4" (10 x 10 cm) 5 A x 6" (15 x 15 cm) 5 A6210 Exudate Level Code Size Units HCPCS* x 4" (10 x 10 cm) circle pad 10 A * 5 x 5" (12.5 x 12.5 cm) 10 A * 7 x 7" (18 x 18 cm) 5 A6213 Biatain Ag Adhesive Foam Dressing Combines effective antimicrobial technology with effective exudate management Manages moderate-to-high wound exudate levels Hydrocolloid border reduces need for secondary dressing Exudate Level Biatain Heel Foam Dressing Unique foam structure manages moderate-tohigh wound exudate levels and protects the heel Hydrocolloid border reduces need for secondary dressing Code Size 3488* 7 1 2" x 8" (19 x 20 cm) Code Size Units HCPCS* x 5" (12.5 x 12.5 cm) 5 A x 7" (18 x 18 cm) 5 A6213 Exudate Level Units HCPCS* 5 A6212 Exudate Level 1. Data on file at Coloplast Corp. 2. Münter K-C et al. Effect of a sustained silver-releasing dressing on ulcers with delayed healing: the CONTOP study. Journal of Wound Care 2006, 15(5), J ørgensen B et al. The silver-releasing foam dressing, Contreet Foam, promotes faster healing of critically colonised venous leg ulcers: a randomised, controlled trial. International Wound Journal 2005, 2(1), * Also available with Silver. See Antimicrobial Dressings on page R ayman et al. Sustained silver-releasing dressing in the treatment of diabetic foot ulcers. British Journal of Nursing 2005, 14(2), Karlsmark T. et al. Clinical performance of a new silver dressing, Contreet Foam, for chronic exuding venous leg ulcers. Journal of Wound Care 2003, 12(9), * For important information regarding the use of HCPCS codes listed and code definitions see page 224 For important safety information see page 46 51

29 U nique 3D foam that conforms to the wound bed for superior absorption and continuous release of silver to the wound S ustained release of silver during the entire wear time (up to 7 days) Silicone adhesive for easy removal Code Size Units HCPCS* x 3" (7.5 x 7.5 cm) 5 A x 4" (10 x 10 cm) 5 A x 5" (12.5 x 12.5 cm) 5 A6212 Units HCPCS* 5 A6212 Biatain Alginate Dressings are made of a unique combination of alginate and carboxymethylcellulose (CMC) for superior absorption and one-piece removal. Fast gelling effect when in contact with wound exudate and maintains an optimal moist wound environment. Not made with natural rubber latex (sterile). Alginate Dressings Foam Dressings Biatain Alginate - formerly SeaSorb Soft Alginate Biatain Silicone Ag Foam Dressing Exudate Level Biatain Ag Heel Foam Dressing Combines effective antimicrobial technology with effective exudate management Unique foam structure manages wound exudate and protects the heel Hydrocolloid border for optimal adhesion Code Size x 7 3 4" (19 x 20 cm) Exudate Level Biatain Ag Sacral Foam Dressing Combines effective antimicrobial technology with effective exudate management Unique foam structure manages wound exudate and protects the sacral area Hydrocolloid adhesive border for optimal adhesion Code Size x 9" (23 x 23 cm) Biatain Alginate Dressing Units HCPCS* 5 A6213 Exudate Level Fast-gelling alginate One-piece removal Manages moderate-to-high levels of wound exudate Code Size Units HCPCS* 3705* 2 x 2" (5 x 5 cm) 30 A * 4 x 4" (10 x 10 cm) 10 A * 6 x 6" (15 x 15 cm) 10 A6197 Exudate Level Biatain Alginate Rope Fast-gelling alginate One-piece removal Manages moderate-to-high levels of wound exudate Code Size 3740* 1 x " rope (44 cm) Units HCPCS* 6 A6199 Exudate Level References on file at Coloplast Corp. * Also available with Silver. See Antimicrobial Dressings on page * For important information regarding the use of HCPCS codes listed and code definitions see page 224 For important safety information see page 46 53

30 Alginate Dressings Biatain Alginate Ag Dressing (Formerly SeaSorb ) Combines absorption qualities with controlled, silver-release technology One-piece removal Manages moderate-to-high levels of wound exudate Code Size Units HCPCS* x 2" (5 x 5 cm) 30 A x 4" (10 x 10 cm) 10 A x 6" (15 x 15 cm) 10 A6197 Exudate Level Biatain Alginate Ag Rope (Formerly SeaSorb ) Combines absorption qualities with controlled, silver-release technology One-piece removal Manages moderate-to-high levels of wound exudate Code Size Units HCPCS* x " rope (44 cm) 10 A6199 Exudate Level PREP Protective Skin Barrier Clear film forms a breathable barrier against skin irritants such as adhesives, urine and stool No need to remove between applications Code Size Units HCPCS* 2041 Single application packet 54/Box 12 A fl. oz./59 ml 12 A4369 Comfeel Plus Dressings have a unique combination of alginate and hydrocolloid. Exudate management with fewer dressing changes and less disruption to wound bed Specialty shapes and sizes for difficult-to-dress areas Color guide indicates best time to change dressing No-touch application system for ease-of-use (sterile). Comfeel Plus Transparent Dressing (Thin) Comfortable, flexible hydrocolloid adaptable to wound and body contours Clear dressing allows visual inspection without disturbing wound Does not contain alginate Skin Sealant / Hydrocolloid Dressings Code Size Units HCPCS* x 2 3 4" (5 x 7 cm) 10 A x 4" (10 x 10 cm) 10 A x 5 1 2" (9 x 14 cm) 10 A x 6" (15 x 15 cm) 5 A6235 Exudate Level Comfeel Plus Ulcer Dressing Ideal hydrocolloid for wounds with low-to-moderate levels of exudate Contains alginate Code Size Units HCPCS* x 2 1 2" (4 x 6 cm) 30 A x 4" (10 x 10 cm) 10 A x 6" (15 x 15 cm) 5 A x 8" (20 x 20 cm) 5 A6236 Exudate Level * For important information regarding the use of HCPCS codes listed and code definitions see page 224 For important safety information see page 46 55

31 Triad Hydrophilic Wound Dressing Butterfly-shaped hydrocolloid dressing for better conformity and adhesion Specifically designed for difficult-to-dress areas Contains alginate Zinc-oxide-based hydrophilic paste absorbs moderate levels of wound exudate Natural debrider Ideal alternative for difficult-to-dress areas Not made with natural rubber latex (sterile) Code Size Units HCPCS* sq. in. (6 x 8 cm) 5 A sq. in. (9 x 11 cm) 5 A6237 Exudate Level Code Size Units HCPCS* oz./71 g tube 12 A oz./170 g tube 12 A6240 Exudate Level Comfeel Plus Sacral Dressing Triangular-shaped hydrocolloid dressing for maximum absorption and adhesion in the sacral area Contains alginate Code Size x 8" (18 x 20 cm) Units HCPCS* 5 A6235 Exudate Level Comfeel Plus Pressure Relief Dressing Hydrocolloid dressing with pressure-relieving foam technology Ideal for protecting wounds on the heel or elbow Contains alginate Code Size Units HCPCS* " Butterfly (7 cm) 5 A " Round (10 cm) 5 A " Round (15 cm) 5 A6238 Provides a moist wound environment Does not contain alginate Not made with natural rubber latex (sterile) 3233 Code Size Units HCPCS* fl. oz./178 ml 12 A fl. oz./355 ml 12 A6260 Exudate Level Rehydrates dry wounds and eschar Promotes moist wound environment and autolytic debridement Not made with natural rubber latex Comfeel Ulcer Care Size Saline-based solution for cleansing and irrigating acute and chronic wounds No-rinse, isotonic, ph-balanced formula Does not interfere with wound healing 7.6 psi irrigation pressure Woun Dres Collagen Hydrogel Exudate Level Code Sea-Clens Wound Cleanser Hydrophilic Paste / Wound Cleansers / Hydrogels Hydrocolloid Dressings Comfeel Plus Contour Dressing Units HCPCS* x 2 1 2" (4 x 6 cm) 30 A x 4" (10 x 10 cm) 10 A x 6" (15 x 15 cm) 5 A6235 Exudate Level Code Size Units HCPCS* oz./28 g tube 36 A oz./84 g tube 12 A6248 Exudate Level Purilon Gel Sterile hydrogel with hydrating and absorbing properties for effective autolytic debridement Maintains a moist wound environment Contains alginate Not made with natural rubber latex (sterile) Code Size Units HCPCS* oz./8 g 10 A oz./15 g 10 A oz./25 g 10 A6248 Exudate Level * For important information regarding the use of HCPCS codes listed and code definitions see page 224 For important safety information see page 46 57

32 Contact Layer Physiotulle Wound Contact Layer Easy-to-handle and easy to use Comfort and protection Promotes a moist wound environment 1 For atraumatic dressing removal Code Size Units HCPCS* x 4" (10 x 10 cm) 10 A x 8" (10 x 20 cm) 3 A x 6" (15 x 15 cm) 10 A x 8" (15 x 20 cm) 10 A6207 Exudate Level Biatain Super, Non-Adhesive Suitable for highly exuding wounds 2 Promotes an optimal moist wound environment 1-3 All-in-one simple to use wound dressing 1 Code Size Units HCPCS* x 4" (10 x 10 cm) 10 A x 5" (12.5 x 12.5 cm) 10 A x 8" (12.5 x 20 cm) 10 A x 6" (15 x 15 cm) 10 A x 8" (20 x 20 cm) 10 A6252 Super Absorbents Exudate Level Biatain Super, Adhesive Code Size Units HCPCS* x 4" (10 x 10 cm) 10 A x 5" (12.5 x 12.5 cm) 10 A x 8" (12.5 x 20 cm) 10 A x 6" (15 x 15 cm) 10 A x 8" (20 x 20 cm) 10 A6204 Exudate Level 1. Canac. Impact Medicine Vol. 35 p Morris. British Journal of Nursing 2003: 12(10): Norkus et al. Journal of Wound Care 2005: 14(9): Karlsmark et al. British Journal of Nursing 2004: 13(6): S29-S35 4. Palamand, et al. Wound: A Compendium of Clinical Research and Practise, 1991, 3(4): * For important information regarding the use of HCPCS codes listed and code definitions see page 224 For important safety information see page 46

33 Discontinued Products Convert from Code Size Units Convert to Code Size Units Contreet Ag Hydrocolloid Dressing Comfeel Plus Transparent Dressing x 4" (10 x 10 cm) 5 Biatain Ag Adhesive x 5" (12½ x 12½ cm) x 6" (15 x 15 cm) x 7" (18 x 18 cm) x 8" (15 x 20 cm) 5 Comfeel Plus Ulcer Dressing x 8" (20 x 20 cm) x 8" (20 x 20 cm) x 8" (20 x 20 cm) 5 Comfeel Film x 2¾" (5 x 7 cm) 100 Comfeel Plus Transparent x 2¾" (5 x 7 cm) 10 Dressing x 4¾" (10 x 12 cm) x 4" (10 x 10 cm) x 5 1 2" (23 x 14 cm) 10 N/A x " (20 x 29 cm) 10 N/A ½ x 15¾" (29 x 40 cm) 10 N/A Biatain Foam Dressing " (5 cm) round 10 Biatain Foam Dressing x 2¾" (5 x 7 cm) " (8 cm) round x 2¾" (5 x 7 cm) x 8" (10 x 20 cm) x 8" (20 x 20 cm)

34 Product Guide Skin Care Effective September 2014 Skin

35 Important safety information InterDry is a skin protectant for the management of skin folds and other skin-to-skin contact areas. It reduces microbial colonization in the fabric. This single-use fabric provides moisture translocation to keep skin dry while the antimicrobial in the fabric reduces odor. The safe use of InterDry fabric during pregnancy, lactation and on children has not been demonstrated. Although many patients benefit from the use of this device, results may vary. See the device labeling for detailed information including the indication, contraindications, warnings, precautions, and potential complications/adverse events. For further questions, call Coloplast Corp. at and/or consult the company website at Inconsistent skin care increases the risk of complications and cost of inefficiencies 1,2 Inconsistent Skin Care Incontinence- Associated Dermatitis (IAD) $$ $$$ Hospital-Acquired Pressure Ulcer (HAPU) $$$$ Simplifying skin care has been shown to have an impact on patient outcomes and reduce supply chain costs 3,4 Skin Care Improved clinical compliance Improved patient outcomes Reduced product waste Reduced pharmacy costs Reduced cost of complications Costs Simplify Care with Coloplast s structured skin care regimen 1. Lewis-Byers K, Thayer D, Kahl A. An evaluation of two incontinence skin care protocols in a long-term care setting. Ostomy Wound Manage. 2002;48(12): Junkin J, Selekof J. Beyond diaper rash: Incontinence-associated dermatitis, does it have you seeing red? Nursing. 2008;38(11 Suppl):56hn Junkin J, Selekof J. Prevalence of incontinence and associated skin injury in the acute care patient. J Wound Ostomy Continence Nurs. 2007;34(3): Gray M, Bliss D, Doughty D, Ermer-Seltun J, Kennedy-Evans KL, Palmer M. Incontinence-associated dermatitis: A consensus. J Wound Ostomy Continence Nurs. 2007;34(1):

36 Color-coded labels simplify product selection Easy product identification: Symbols & colors represent product function CLEANSERS 1 Brand Name A brand name you ve come to trust 1 2 Rinse No-Rinse 2 Category Defines the need 3 MOISTURIZERS 3 Description Defines the product 4 Moisturize 4 Indication Defines the product use 5 SKIN PROTECTANTS Barrier 5 6 Symbol Graphic representation of skin care needs Cap Color Further differentiates product function SKIN PROTECTANTS WITH ANTIFUNGAL Barrier with Antifungal ANTIFUNGALS Antifungal SKIN FOLD MANAGEMENT 5 Textile with Silver 6 INFECTION PREVENTION/ HAND HYGIENE Rinse No-Rinse

37 Cleansers Bedside-Care Foam No-Rinse, Foaming Body Wash, Shampoo & Incontinence Cleanser All-in-one, deodorizing body wash, shampoo and incontinence cleanser Foam delivery system Alcohol-free ph-balanced CHG compatible Product Code Size Units Scented fl. oz./118 ml fl. oz./237 ml 12 Bedside-Care Perineal Wash No-Rinse Body Wash, Shampoo & Incontinence Cleanser Soothing and deodorizing Dye, fragrance and alcohol-free ph-balanced CHG compatible Code Size Units fl. oz./118 ml fl. oz./237 ml gal./3.8 L 4 Cleansers Unscented fl. oz./118 ml fl. oz./237 ml 12 Bedside-Care No-Rinse Body Wash, Shampoo & Incontinence Cleanser All-in-one, deodorizing body wash, shampoo and incontinence cleanser Alcohol-free ph-balanced CHG compatible Code Size Units Bedside-Care EasiCleanse No-Rinse, Self-Sudsing, Disposable Washcloth Non-irritating, non-sensitizing Preservative, dye, alcohol and not made with natural rubber latex CHG compatible Suitable for neonatal use 1 Code Size Units sheets/pk 30 pks/cs sheets/pk 100 pks/cs fl. oz./118 ml fl. oz./237 ml gal./3.8 L 4 Bedside-Care Sensitive Skin Foam No-Rinse, Foaming Body Wash, Shampoo & Incontinence Cleanser Tear-free, hypoallergenic Neonate 1 to geriatric suitable Dye, fragrance and alcohol-free ph-balanced CHG compatible Gentle Rain Extra Mild Sensitive Skin, Moisturizing Body Wash, Shampoo & Hand Wash Mild ingredients and added emollients for use on fragile, sensitive skin Dermatologist tested, hypoallergenic and dye-free ph-balanced Code Size Units ml single 300 application packet fl. oz./59 ml fl. oz./118 ml 36 Code Size Units fl. oz./118 ml fl. oz./237 ml fl. oz./237 ml fl. oz./621 ml fl. oz./1000 ml gal./3.8 L 4 Bedside-Care Sensitive Skin No-Rinse Body Wash, Shampoo & Incontinence Cleanser Tear-free, hypoallergenic Neonate 1 to geriatric suitable Dye, fragrance and alcohol-free ph-balanced CHG compatible Gentle Rain Antibacterial Antibacterial Moisturizing Body Wash, Shampoo & Hand Wash Cleanses, moisturizes and deodorizes skin Dermatologist tested, hypoallergenic and dye-free ph-balanced Code Size Units Code Size Units fl. oz./59 ml fl. oz./118 ml fl. oz./621 ml fl. oz./237 ml fl. oz./1000 ml Association of Women s Health, Obstetric and Neonatal Nurses. Neonatal Skin Care, Third Edition. Evidence-Based Clinical Practice Guideline, See dispensers on page

38 Moisturizers Sween 24 Cream Superior Moisturizing Skin Protectant Cream Once a day application Contains 6% dimethicone Fragrance, petrolatum, lanolin and alcohol-free CHG compatible Suitable for neonatal use 1,2 Code Size Units g single application packet oz./57 g oz./142 g oz./255 g 12 Atrac-Tain Cream Urea & Alpha Hydroxy Acid (AHA) 10% urea and 4% AHA Exfoliates and softens severely dry, cracked, calloused skin Fragrance, dye and preservative-free CHG compatible Code Size Units g single application packet oz./57 g oz./142 g 12 Moisturizers Sween Cream Moisturizing Cream Non-occlusive formula Will not interfere with tape adhesion CHG compatible Suitable for neonatal use 1 Code Size Units g single application packet oz./85 g oz./184 g oz./339 g jar 12 Sween Lotion Moisturizing Lotion Enriched with vitamin E Non-occlusive formula CHG compatible Suitable for neonatal use 1 Code Size Units ml single application packet fl. oz./59 ml fl. oz./118 ml fl. oz./237 ml fl. oz./621 ml 12 See dispensers on page Association of Women s Health, Obstetric and Neonatal Nurses. Neonatal Skin Care, Third Edition. Evidence-Based Clinical Practice Guideline, Mouser, T. Effectiveness of a Non-Petrolatum Emollient Cream Lasting 24 Hours in a NICU and PICU Poster presented at Clinical Symposium on Advances in Skin & Wound Care. Oct. 2005, Las Vegas, NV

39 Skin Protectants Critic-Aid Clear Clear Moisture Barrier Ointment Clear moisture barrier Minimal ingredients Adheres to intact and eroded skin Easy to apply and remove CHG compatible Suitable for neonatal use 1,2 Code Size Units g single application packet oz./71 g 12 Baza Cleanse & Protect Lotion All-In-One Perineal Lotion One step provides mild cleansing, a breathable barrier and moisturization Available with odor control ph-balanced CHG compatible Product Code Size Units Unscented g single 300 application packet fl. oz./237 ml 12 Scented fl. oz./237 ml 12 Skin Protectants oz./170 g 12 Critic-Aid Skin Paste Thick Moisture Barrier Paste Minimal ingredients Adheres to intact and eroded skin Easy to apply and remove CHG compatible Suitable for neonatal use 1 Code Size Units Sween Body Powder All-Body Powder Absorbs moisture and perspiration Non-talcum based formula Helps reduce friction and prevent shearing Easy to apply Code Size Units oz./85 g oz./227 g oz./71 g oz./170 g 12 Baza Clear Moisture Barrier Ointment Clear, petrolatum-based moisture barrier Contains skin conditioners CHG compatible Code Size Units g single application packet oz./50 g oz./142 g 12 Baza Cleanse & Protect Cloth All-in-one Perineal Cleanser, Moisturizer and Breathable Barrier Cloth Cleanser, moisturizer and breathable barrier for patients at-risk for skin irritation due to incontinence-associated dermatitis Clear barrier allows for easy skin inspection CHG compatible Code Size Units cloth wipes/pkg 24 pk/cs Baza Protect Moisture Barrier Cream Zinc oxide and dimethicone-based moisture barrier Contains skin conditioners CHG compatible Code Size Units g single application packet oz./57 g oz./142 g Association of Women s Health, Obstetric and Neonatal Nurses. Neonatal Skin Care, Third Edition. Evidence-Based Clinical Practice Guideline, Ratliff, C., Dixon, M. Treatment of Incontinence-Associated Dermatitis (Diaper Rash) in a Neonatal Unit. JWOCN 2007; 34(2):

40 Antifungals Critic-Aid Clear AF Clear Moisture Barrier Ointment with Antifungal Clear moisture barrier with 2% miconazole nitrate Minimal ingredients Adheres to intact and eroded skin Easy to apply and remove CHG compatible Code Size Units g single application packet oz./57 g oz./142 g 12 Baza Antifungal Moisture Barrier Antifungal Cream Moisture barrier with 2% miconazole nitrate Contains skin conditioners CHG compatible For the management of skin-on-skin irritation Skin Fold Management Code Size Units g single application packet oz./57 g oz./142 g 12 Micro-Guard Powder Antifungal Powder Non-talcum based formula with 2% miconazole nitrate Treats superficial fungal infections Helps reduce friction and shearing Code Size Units Patented Method of Action Moisture-wicking fabric keeps the skin fold dry Ionic silver complex in the fabric fights itching and odor Polyurethane coated polyester fibers reduce friction By addressing the cause, InterDry effectively manages complications associated with skin folds oz./85 g 12 Now available over-the-counter for continuity of care. Visit inter-dry.com or call InterDry Textile with Antimicrobial Silver Complex Manages moisture, friction and bacterial or fungal organisms in skin folds 1 Manages the symptoms associated with intertrigo such as erythema, painful rash, denudement, satellite lesions and odor 2 Wicks and translocates moisture Silver within the textile provides effective antimicrobial action for up to 5 days Code Size Units x 144" 10 /case x 36" 10 pks/box 1. Vorbeck, E. Evaluation of a Skin Fold Management Textile with Antimicrobial Silver Complex in a Variety of Case Studies 2. Freyberg J, et al. Moisture Management Challenges for the WOC Nurse presented at the WOCN Society 39th Annual Conference, June For important safety information see page

41 Hand Hygiene Isagel No-Rinse, Instant Hand Sanitizing Gel Kills 99.9% of most microorganisms in less than 15 seconds 1 Effective against H1N1 virus 1 Added moisturizers CHG and latex glove compatible Code Size Units fl. oz./118 ml fl. oz./621 ml fl. oz./800 ml 12 Coloplast Wall Dispenser Holds 27 fl. oz. and 34 fl. oz. (800 ml and 1000 ml) refill bags Completely closed to prevent possible contamination Metered 1 ml pump dispenses appropriate amount No-drip nozzle leaves facility clean and safe Easy-to-operate push pad meets Americans with Disabilities Act guidelines Keyless opening for simple cartridge replacement Installs quickly with choice of screws or tape Code Size Units 7251 Holds 27 fl. oz. and 34 fl. oz. 12 (800 ml and 1000 ml) 7262 Drip tray 60 Accessories Embrace Bracket Holds 21 fl. oz (621 ml) Coloplast containers securely in place Improved tamper- and theft-resistant design Optional locking collar conceals cap Installs quickly with screws or tape Code Size Units 0089 Holds 21 fl. oz. (621 ml) 12 See dispensers on page References on file at Coloplast Corp

42 Discontinued Products Conversion sheet: Skin Care Convert from Code Size Units Convert to Code Size Units Gentle Rain fl. oz. 36 Gentle Rain Extra Mild fl. oz fl. oz fl. oz fl. oz fl. oz fl. oz fl. oz fl. oz fl. oz gal gal. 4 Gentle Rain Antibacterial fl. oz. 36 Gentle Rain Antibacterial fl. oz. 36 Sween Cream fl. oz. 36 Sween Cream g. single app. pkt oz. jar fl. oz Sween Cream Fresh Scent fl. oz. 12 Sween Cream fl. oz fl. oz fl. oz. 12 Sween Lotion fl. oz. 12 Sween Lotion fl. oz gal fl. oz. 12 Convert from Code Size Units Convert to Code Size Units Atrac-Tain Lotion oz. jar 12 Atrac-Tain Cream fl. oz 12 Baza Clear oz. jar 12 Baza Clear fl. oz 12 Baza Antifungal Hospital Pack fl. oz. Bedside Care Perineal Wash 2 fl. oz. Baza Antifungal 12 Bedside Care fl. oz Baza Antifungal fl. oz 12 Isagel ml towelette 6 bx/50 Isagel fl. oz fl. oz fl. oz 36 Kind Touch Lotion Skin Cleanser fl. oz. 12 Gentle Rain Extra Mild fl. oz. 12 Sensitive Skin, Moisturizing Body Wash, Shampoo & Hand Wash fl. oz fl. oz. 12 Discontinued Products

43 Discontinued Products Convert from Code Size Units Convert to Code Size Units fl. oz. 36 Soft Touch Antimicrobial Lotion Skin Cleanser fl. oz. 36 Gentle Rain Antibacterial Antibacterial Moisturizing Body Wash, Shampoo & Hand Wash fl. oz fl. oz fl. oz fl. oz fl. oz fl. oz fl. oz fl. oz gal fl. oz. 12 Peri-Wash Incontinent Cleanser & Deodorizer fl. oz. 36 Bedside-Care Perineal Wash fl. oz. 36 No-Rinse, Body Wash & Shampoo Incontinence Cleanser fl. oz fl. oz. 12 Sproam No-Rinse Body Wash, Shampoo and Incontinence Cleanser fl. oz. 12 Bedside-Care Foam (Unscented) fl. oz. 36 No-Rinse, Foaming Body Wash, Shampoo & Incontinence Cleanser fl. oz fl. oz. 12 Convert from Code Size Units Convert to Code Size Units Sween Bath Oil fl. oz. 36 N/A Bath Additive and Skin Conditioner fl. oz. 36 N/A fl. oz. 12 N/A fl. oz. 12 N/A gal. 4 N/A Atrac-Tain Lotion Urea & Alpha Hydroxy Acid (AHA) Sween Cream Fresh Scent Moisturizing Cream Sween Cream Fragrance Free Moisturizing Cream Micro-Guard Cream Antifungal Cream fl. oz. 36 Atrac-Tain Cream Urea & Alpha Hydroxy Acid (AHA) g packet 300 Sween Cream Moisturizing Cream oz. 12 Sween Cream Moisturizing Cream oz. 12 Baza Antifungal Moisture Barrier Antifungal Cream fl. oz g packet oz oz. 12 Hex-On Fresh Linen Odor Antagonist fl. oz fl. oz fl. oz. 12 N/A Hex-On Fresh Linen Odor Antagonist Baza Cleanse & Protect Cloths cloths/ package fl. oz. 12 N/A 100 Baza Cleanse & Protect Cloth cloths/ pkg Odor Control fl. oz Discontinued Products

44

45 Product Guide Ostomy Care Effective September 2014 Ostomy * For important information regarding the use of HCPCS codes listed and code definitions see page 224

46 New SenSura Mio For all ostomy types Accessories Fits Right. Feels Right. A barrier designed to fit your patients SenSura Mio has an elastic barrier that fits your patients individual body shapes and follows their contours when bending and stretching. SenSura Mio is very discreet. The soft, water-resistant textile material gives the pouch the feel of a clothing item. Its specially chosen neutral gray color is designed to stay unnoticed under all clothing colors. To learn more visit us at or call

47 Innovations to make everyday life easier Brava Ostomy Accessories Easy-to-use, no-sting products protect and care for the skin Think again. Think Brava SenSura Mio BodyFit Technology elastic barrier fits to real bodies SenSura Xpro Extended Wear Adhesive All of the skin-friendly benefits of SenSura in a more erosionresistant barrier I used to think running was out of the question. Now my barrier stays in position. Sandra, Brava user and running enthusiast Improved Multi-Chamber Uro Pouch Input from nurses inspired a quieter, lower profile pouch Disclosure: Sandra is a Brava user who has received compensation from Coloplast to provide this information. Accessories BodyCheck Tool The BodyCheck tool is the newest addition to the Coloplast Care program. Because we know real bodies change over time, we ve developed a simple tool to help determine the most appropriate solution for each unique body type. Ordering samples of the recommended product(s) is easy with the just the click of a button. To learn more visit: bodycheck.coloplast.com Contact Coloplast Consumer Care at for free evaluation samples today!

48 Ostomy Care Think again. Think Brava Accessories that help reduce leakage and care for your skin to make you feel secure. Brava Elastic Barrier Strips Skin-friendly strips are used to picture frame around an ostomy barrier, providing extra security. Elastic (follows the contours of the body) Ensures the position of your barrier and minimizes roll-up Skin-friendly and secure alternative to tape Brava Elastic Barrier Strips- Curved For round or oval barrier shapes Code Size Units HCPCS* * 5½" strips 20 strips A4362 *2 strips = 1 billable unit of A4362 Accessories Brava Elastic Barrier Strips- Y shape Designed for users with varying body shapes, e.g. hernias or skin folds Code Size Units HCPCS* * 5 3 /4" strips 30 strips A5121 *3 strips = 1 billable unit of A5121 Brava Elastic Barrier Strips- Straight For square or rectangular barrier shapes Code Size Units HCPCS* * 51/4" strips 20 strips A4362 *2 strips = 1 billable unit of A4362 Brava Moldable Ring Designed to be durable and secure - used to fill in uneven skin surfaces and protect the skin. Provides a tight seal around the stoma Ideal for ileostomates and urostomates absorbs moisture without breaking down Easy to handle, mold and apply Alcohol-free = sting-free Code Size Units HCPCS* mm (thin) 10 A mm (thick) 10 A4385 * For important information regarding the use of HCPCS codes listed and code definitions see page

49 Accessories Brava Strip Paste Pectin-based product that protects peristomal skin Protects peristomal skin from stoma output Used to fill uneven skin surfaces to create a flat pouching surface Alcohol-free = sting-free Code Size Units HCPCS* oz 10 strips A4406 Brava Belt for SenSura Mio Neutral gray color was designed to blend in under clothing; adjustable plastic tab is encased in fabric to prevent it from digging into your skin. Designed specifically for use with SenSura Mio Click barriers. Code Size Units HCPCS* " length 15 A " length 15 A4367 Brava Ostomy Belt Comfortable, adjustable belt offers extra security for people with a flush or retracted stoma by supporting a convex barrier and allowing the stoma to protrude. Neutral color won t show under clothing Brava Skin Barrier Spray Protect against stoma output and adhesives Dry within seconds without building a thick or tacky layer Alcohol-free, silicone- based, and sting-free Code Size Units HCPCS* oz (50 ml) 1 A4369 Brava Skin Barrier Wipes Protect against stoma output and adhesives Dry within seconds without building a thick or tacky layer Alcohol-free, silicone- based, and sting-free Code Size Units HCPCS* wipe 30 wipes/box A5120 Brava Paste A sting-free alternative to conventional alcohol-based paste Creates a tight, effective seal between peristomal skin and the ostomy/fistula appliance Contains pectin Code Size Units HCPCS* oz 1 A4406 Accessories Code Size Units HCPCS* " length 15 A " length 15 A4367 Brava Adhesive Remover Spray Designed to lift the edges of the barrier for ease in removal Dry within seconds without leaving an oily residue behind Alcohol-free, silicone- based, and sting-free Code Size Units HCPCS* oz (50 ml) 1 A4455 Coloplast Paste Used to fill in uneven skin surfaces to create a flat pouching surface Provides tight sealing around the stoma Protects against stoma output Minimizes risk of maceration Non-pectin Code Size Units HCPCS* oz 12 A4405 Brava Adhesive Remover Wipes Wipe away adhesive residue Dry within seconds without leaving an oily residue behind Alcohol-free, silicone- based, and sting-free Code Size Units HCPCS* wipe 30 wipes/box A4456 Brava Protective Sheet Hydrocolloid skin barrier that protects the skin from stoma output Offers effective protection for peristomal skin and 3-way stretch Provides a ready surface for good adhesion Adheres to moist skin Code Size Units HCPCS* x 4" (10 x 10 cm) 10 A x 6" (15 x 15 cm) 5 A x 8" (20 x 20 cm) 5 A5122 * For important information regarding the use of HCPCS codes listed and code definitions see page

50 Accessories Brava Powder Non-sterile protective powder for moisture absorption. May use in conjunction with Brava Skin Barrier Spray or PREP to crust, thereby protecting moist skin Code Size Units HCPCS* oz. (25 g) 16 A4371 PREP Protective Skin Barrier Clear film forms a breathable barrier protecting against skin irritants such as adhesives, urine and feces. No need to remove between applications. Wipes Code Size Units HCPCS* wipes/pack 12 packs/box A5120 Accessories Brava Lubricating Deodorant A pouch lubricant + deodorizer in one. Powder-fresh liquid neutralizes odor and allows output to slide to the bottom of the pouch for easier emptying. Dabber Code Size Units HCPCS* fl. oz. (59 ml) 12 A4369 Code Size Units HCPCS* fl. oz. (7.5 ml) 20 sachets A4394 sachet oz. bottle 1 A4394 Pouch Filters (Filtrodor ) Charcoal-activated, deodorizing filter with self-sealing foam center; adheres to pouch. Ostomy Scissors Curved ostomy scissors. Code Units HCPCS* A4368 Code Size Units HCPCS* One size 30/bx N/A Coloplast Skin Barrier Rings Soft and flexible barrier rings provide skin protection for stomas, fistulas, and draining wounds. Non-pectin based Code Size Units HCPCS* " (10 mm) 30 A " (15 mm) 30 A " (20 mm) 30 A " (25 mm) 30 A " (30 mm) 30 A " (40 mm) 30 A " (50 mm) 30 A4404 Drainable Pouch Clamp Simple closure clamp is easy to manipulate, even for those with low dexterity. Code Units HCPCS* A4363 Post-Op Accessories Window for Assura post-op pouches (page 160) Cut-to-fit Code Size Units HCPCS* Matches Assura Post- 20 A4421 Op and Matches Assura Post- Op and A4421 * For important information regarding the use of HCPCS codes listed and code definitions see page

51 Accessories Urostomy Night Bag Includes a fixed connector that fits directly to SenSura Mio, SenSura and Assura urostomy pouches. The bag holds up to 2 liters and has a 120 cm long flexible tube with anti-reflux valve. Bag hanger (#5070) not included. Order separately. Code Units HCPCS* A4357 Bed Drainage Bag Bag tubing specifically designed for fistula output. Holds up to 2000mL. Long tubing can be cut easily and allows nurses to find the right length for bed drainage. Can be used with fistula / wound management systems or high-output pouches. Code Units HCPCS* A4357 Bag Hanger Reusable, sturdy, plastic drainage bag hanger secures tubing and ensures bag stability. Code Size Units HCPCS* 5070 One Size 1 A4421 Irrigation Sets Coloplast Economy Version Durable water bag with integrated thermometer, bold print, large opening. Can be used with 1- or 2-piece ostomy systems. Code Units Includes HCPCS* Water Bag/Regulator 1- Cone A4398 A4399 Assura Hospital Version Durable water bag with integrated thermometer, bold print, large opening. Can be used with 1- or 2-piece ostomy systems. Code Units Includes HCPCS* 1500H 1 1- Water Bag/Regulator 1- Cone 4- Adhesive Irrigation Sleeves (#1003) 2- Closure Clips A4398 A4399 A4397 Accessories SenSura or Assura Deluxe Version Components supplied in a travel bag. Extra Drain Port For use with Fistula Wound Management Systems (page 162). Drain port can be easily applied to the lid to allow for catheter insertion. For catheters ranging from 18FR - 22FR, the drain port is ready for use. For catheters ranging from 24FR-30FR, pull off the top of the drain port - DO NOT CUT. Code Units HCPCS* A4421 Code Units Includes HCPCS* Water Bag/Regulator 1- Cone 1- Irrigation Faceplate 1- Belt 2- Irrigation Sleeves (#12836) A4398 A4399 A4361 A4367 A4397 Coloplast Transparent Fistula Lids Replacement lids match the transparent lid included with each fistula pouch. Code Size Units HCPCS* Mini (matches 14050) 10 A Midi (matches 14060) 10 A Maxi (matches 14070) 10 A4421 * For important information regarding the use of HCPCS codes listed and code definitions see page

52 Accessories Irrigation Sleeves Irrigation Sleeves Disposable irrigation sleeve (adhesive-backed). Transparent Code Units HCPCS* A4397 Irrigation sleeves for use with SenSura or Assura barriers or faceplate. Consult chart below to order the correct transparent sleeves. Code Size Units HCPCS* A A A4397 Irrigation Sleeve # Use with SenSura Product Code Units , 10012, 10013, , 11011, 11012, 11015, , 10022, 10023, , , 10032, 10035, 10036, 11031, 11032, 11035, Irrigation Accessories SenSura or Assura Irrigation Faceplate For use with ostomy belt. (Use with #12836 Irrigation Sleeve) Note: not compatible with Brava Belt for SenSura Mio Code Units HCPCS* A4361 Coloplast Stoma Cone Soft and flexible stoma cone with tubing. Code Units HCPCS* A4399 * For important information regarding the use of HCPCS codes listed and code definitions see page

53 SenSura Mio Click The new SenSura Mio is based on our human-centered approach to innovation; it's designed with individual bodies in mind. Elastic barrier to fit real body shapes. Flexible coupling for security. Full-circle filter to reduce ballooning. Two-Piece Click Neutral gray textile for discretion.

54 SenSura Mio Click Standard Wear Barrier Flat Belt tabs Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* /8"-1 3 /8" (10-35 mm) A /8"-1¾" (10-45 mm) A /8"-2 1 /8" (10-55 mm) A /8"-2 9 /16" (10-65 mm) A4415 Pre-cut Units: 5 Code Stoma Size Color HCPCS* ¾" (20 mm) A /8" (22 mm) A " (25 mm) A /8" (28 mm) A /16" (30 mm) A /4" (32 mm) A /8" (35 mm) A ½" (38 mm) A /16" (40 mm) A ¾" (45 mm) A " (50 mm) A Piece SenSura Mio Click SenSura Mio Click MAXI Drainable Pouch EasiClose WIDE Outlet Full-circle filter Neutral gray, water-resistant textile Opaque pouches feature peek-a-boo inspection window for easy application Transparent 11" (28 cm) / 655 ml Units: A A A A4427 Opaque 11" (28 cm) / 655 ml Units: A A A A * For important information regarding the use of HCPCS codes listed and code definitions see page

55 2-Piece SenSura Mio Click SenSura Mio Click MAXI Drainable Pouch EasiClose WIDE Outlet Without Filter Neutral gray, water-resistant textile Transparent 11" (28 cm) / 655 ml Units: A A A4426 SenSura Mio Click MIDI Drainable Pouch EasiClose WIDE Outlet Full-circle filter Neutral gray, water-resistant textile Opaque pouches feature peek-a-boo inspection window for easy application Opaque 10¼" (26 cm) / 485 ml Units: A4427 SenSura Mio Click MIDI Closed Pouch Full-circle filter Neutral gray, water-resistant textile Opaque pouches feature peek-a-boo inspection window for easy application Opaque 7 1 4" (18½ cm) / 275 ml Units: A A A4423 Urostomy SenSura Mio Click MAXI Urostomy Pouch Multi-chambers minimize sloshing Wider anti-reflux valves prevent urine from washing over the stoma Soft outlet can be connected to urostomy night bag #21365 Neutral gray, water-resistant textile 2-Piece SenSura Mio Click A4427 Transparent 10½" (26½ cm) / 480 ml Units: 10 SenSura Mio Click MAXI Closed Pouch Full-circle filter Neutral gray, water-resistant textile Opaque pouches feature peek-a-boo inspection window for easy application Transparent 8 1 4" (20½ cm) / 570 ml Units: A A4433 Opaque 10½" (26½ cm) / 480 ml Units: A A A4423 Opaque 8 1 4" (20½ cm) / 570 ml Units: A A A A4423 Xpro vs. Standard Wear, how do I choose? Extended wear doesn t necessarily indicate longer wear time! SenSura Xpro (Extended Wear) is engineered to offer extra protection for liquid ileostomies and urostomies. Coloplast s "extended wear" products are lighter in color to visually differentiate adhesive type. SenSura Standard Wear focuses on moisture absorption and may offer better adhesion for those in more humid climates. * For important information regarding the use of HCPCS codes listed and code definitions see page

56 2-Piece SenSura Click SenSura Click Standard Wear Barrier Flat Belt tabs Cut-to-fit Units: 5 Code Stoma Size HCPCS* " (10-35 mm) A " (10-45 mm) A " (10-55 mm) A " (10-65 mm) A4415 Pre-cut Units: 5 Code Stoma Size Color HCPCS* " (20 mm) A " (25 mm) A " (30 mm) A " (35 mm) A " (40 mm) A4414 SenSura Click Standard Wear Barrier Convex Light Belt tabs Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* /8-7 /8" (15-22 mm) A /16" (15-33 mm) A /16" (15-43 mm) A /16" (15-53 mm) A4373 Pre-cut Units: 5 Code Stoma Size Color HCPCS* /8" (22 mm) A " (25 mm) A /8" (28 mm) A /4" (31 mm) A Piece SenSura Click SenSura Click Xpro (Extended Wear) Barrier Flat Belt tabs Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* " (10-35 mm) A /8" (35 mm) A4373 SenSura Click Xpro (Extended Wear) Barrier Convex Light Belt tabs " (10-45 mm) A4409 Cut-to-fit Units: " (10-55 mm) A4409 Code Stoma Size Color HCPCS* " (10-65 mm) A /8-7 /8" (15-22 mm) A4407 Pre-cut Units: 5 Code Stoma Size Color HCPCS* " (20 mm) A " (25 mm) A /8-1 5 /16" (15-33 mm) A / /16" (15-43 mm) A /8-2 1 /16" (15-53 mm) A " (30 mm) A " (35 mm) A " (40 mm) A4409 Pre-cut Units: 5 Code Stoma Size Color HCPCS* /8" (22 mm) A " (25 mm) A /8" (28 mm) A /4" (31 mm) A /8" (35 mm) A4407 For Assura CONVEX barriers, see pages Indicates convexity * For important information regarding the use of HCPCS codes listed and code definitions see page

57 2-Piece SenSura Click SenSura Click MAXI Drainable Pouch EasiClose WIDE Outlet Filter Soft cloth on back (and front of opaque) Transparent " ( cm) / 655 ml Units: A A A A4427 Opaque " ( cm) / 655 ml Units: A A A4427 SenSura Click Magnum High Output Drainable Pouch Funnel-shaped outlet attaches to a drain bag Filter Soft cloth on back (and front of opaque) Transparent " (32 cm) / 1160 ml Units: A A A4413 Opaque " (32 cm) / 1160 ml Units: A A A4413 For Assura Ileo Night Pouches, see page Piece SenSura Click A4427 Units: 30 SenSura Click MIDI Drainable Pouch EasiClose WIDE Outlet Filter Soft cloth on front and back Opaque " ( cm) / 485 ml Units: A A4427 SenSura Click MAXI Closed Pouch Filter Soft cloth on back (and front of opaque) Transparent 8 1 2" (21 cm) / 570 ml Units: A4423 Opaque 8 1 2" (21 cm) / 570 ml A4423 SenSura Click MAXI Drainable Pouch EasiClose WIDE Outlet Without filter Soft cloth on back (and front of opaque) A A A4423 Transparent " ( cm) / 655 ml Units: A A4426 Opaque " ( cm) / 655 ml Units: A A * For important information regarding the use of HCPCS codes listed and code definitions see page

58 2-Piece SenSura Click SenSura Click MIDI Closed Pouch With filter Soft cloth on front and back Opaque 7" (18 cm) / 275 ml Units: A A A4423 For Assura stoma caps, see page 114. Urostomy Opaque " (26 cm) / 480 ml Units: A A A4433 SenSura Click Uro MIDI Urostomy Pouch Multi-chambers minimize sloshing Wider anti-reflux valves prevent urine from washing over the stoma Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back (and front of opaque) Transparent 9 1 2" (24 cm) / 430 ml Units: 10 2-Piece SenSura Click SenSura Uro Wider anti-reflux valves support varying ways of managing stents: Stents threaded into a pouch connected to a night drainage bag Wider anti-reflux valves A4433 Opaque 9 1 2" (24 cm) / 430 ml Units: A4433 For Assura urostomy micro-pouches and minicaps, see page 114. Rolling the stents in the top of the pouch, making a loop Urostomy Night Bag and Bag Hanger Stents that have been cut See Accessories page 92 for more information. Welded "multi-chambers" minimize ballooning SenSura Click Uro MAXI Urostomy Pouch Multi-chambers minimize sloshing Wider anti-reflux valves prevent urine from washing over the stoma Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back (and front of opaque) Transparent " (26 cm) / 480 ml Units: A A A4433 * For important information regarding the use of HCPCS codes listed and code definitions see page

59 2-Piece Assura Assura Standard Wear Barrier Flat Belt tabs Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* " (10-35 mm) A " (10-45 mm) A " (10-55 mm) A4414 Assura Standard Wear Barrier Convex Light Belt tabs Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* /8-1 5 /16" (15-23 mm) A /16" (15-33 mm) A Piece Assura Pre-cut Units: /16" (15-43 mm) A4373 Code Stoma Size Color HCPCS* " (20 mm) A " (25 mm) A " (30 mm) A4414 Pre-cut Units: 5 Code Stoma Size Color HCPCS* /4" (18 mm) A " (35 mm) A /8" (22 mm) A " (40 mm) A " (25 mm) A " (45 mm) A /8" (28 mm) A /4" (31 mm) A /8" (35 mm) A4373 Assura Extended Wear Barrier Flat Belt tabs /2" (38 mm) A /8" (41 mm) A4373 Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* " (10-35 mm) A " (10-45 mm) A4409 Assura Extended Wear Barrier Convex Light Belt tabs " (10-55 mm) A4409 Pre-cut Units: 5 Code Stoma Size Color HCPCS* Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* " (15 mm) A /8-1 5 /16" (15-23 mm) A " (20 mm) A /8-1 5 /16" (15-33 mm) A " (25 mm) A / " (15-43 mm) A " (30 mm) A " (35 mm) A " (40 mm) A " (45 mm) A4409 Indicates convexity * For important information regarding the use of HCPCS codes listed and code definitions see page

60 2-Piece Assura Pre-cut Units: 5 Code Stoma Size Color HCPCS* " (18 mm) A " (22 mm) A " (25 mm) A " (28 mm) A " (31 mm) A4407 Assura Extended Wear Barrier Convex Belt tabs Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* / /16" (15-23 mm) A /8-1 5 /16" (15-33 mm) A / /16" (15-43 mm) A Piece Assura " (35 mm) A " (38 mm) A " (41 mm) A4407 Pre-cut Units: 5 Code Stoma Size Color HCPCS* Assura Standard Wear Barrier Convex Belt tabs /4" (18 mm) A /8" (22 mm) A " (25 mm) A /8" (28 mm) A /4" (31 mm) A4407 Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* " (15-33 mm) A /8" (35 mm) A /2" (38 mm) A /8" (41 mm) A " (15-43 mm) A4373 Pre-cut Units: 5 Code Stoma Size Color HCPCS* " (15 mm) A " (18 mm) A " (22 mm) A4373 Assura MAXI Drainable Pouch EasiClose WIDE Outlet Filter Soft cloth on back (and front of opaque) " (25 mm) A4373 Transparent " ( cm) / 655 ml Units: " (28 mm) A " (31 mm) A " (35 mm) A " (38 mm) A A A A " (41 mm) A4373 Opaque " ( cm) / 655 ml Units: A A A Indicates convexity Indicates convexity * For important information regarding the use of HCPCS codes listed and code definitions see page

61 2-Piece Assura Assura MAXI Drainable Pouch EasiClose WIDE Outlet Without filter Soft cloth on front and back Opaque " ( cm) / 655 ml Units: A A4426 Assura MIDI Drainable Pouch EasiClose Outlet Filter Soft cloth on front and back Graphic pattern Opaque " ( cm) / 485 ml Units: A A Piece Assura Assura MIDI Drainable Pouch EasiClose WIDE Outlet Filter Soft cloth on front and back Opaque " ( cm) / 485 ml Units: A A A A4427 Assura MINI Drainable Pouch EasiClose Outlet Filter Soft cloth on front and back Opaque 9 1 4" ( cm) / 280 ml Units: A A4427 Assura MAXI Drainable Pouch EasiClose Outlet Filter Soft cloth on back (and front of opaque) Transparent " ( cm) / 655 ml Units: A A A4427 Assura MAXI Drainable Pouch Clamp closure Without filter Soft cloth on front and back Opaque " ( cm) / 760 ml Units: A A A4426 Opaque " ( cm) / 655 ml Units: A A A4427 Assura MIDI Drainable Pouch Clamp closure Without filter Soft cloth on front and back Opaque 9 3 4" ( cm) / 400 ml Units: A A A * For important information regarding the use of HCPCS codes listed and code definitions see page

62 2-Piece Assura Assura High Output Drainable Pouch Soft outlet attaches to drain bag #14010 Filter Soft cloth on back (and front of opaque) Transparent " (32 cm) / 750 ml Units: A A A4413 Assura MIDI Closed Pouch Filter Soft cloth on back (and front of opaque) Transparent 7" (18 cm) / 275 ml Units: A A A4423 Opaque 7" (18 cm) / 275 ml Units: 30 2-Piece Assura Opaque " (32 cm) / 750 ml Units: A A4413 For bed drainage bag and bag hanger, see page A A A4423 Assura High Output Drainable Pouch Clamp closure Filter Opaque 2 L Units: A A4413 Ileostomy / Colostomy Assura Stoma Cap Filter Soft cloth on front Small size is optimal for intimate moments or colostomates who irrigate Opaque Units: 30 Assura MAXI Closed Pouch Filter Soft cloth on back (and front of opaque) 2801 A A A5055 Transparent 8 1 2" (21 cm) / 570 ml Units: A A A4423 Opaque 8 1 2" (21 cm) / 570 ml Units: A A A * For important information regarding the use of HCPCS codes listed and code definitions see page

63 2-Piece Assura Urostomy Assura Urostomy Micro-Pouch Miniature size prevents twisting Soft outlet can be connected to a drain bag for nighttime use, or a leg bag for patients in a wheelchair Soft cloth on front Transparent 6" (15 cm) Units: A4433 Assura MAXI Urostomy Pouch Multi-chambers minimize sloshing Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back (and front of opaque) Transparent " ( cm) / 488 ml Units: A A A Piece Assura A A4433 Try a leg bag for discreet day wear available on page For nighttime, use a urostomy night bag found on page 92. Opaque " ( cm) / 488 ml Units: A A A4433 Assura Urostomy Minicap Ultra-absorbent material inside Small size is optimal for intimate use Soft cloth on front Opaque 100 ml Units: 10 Assura MAXI Urostomy Pouch Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back (and front of opaque) Transparent " ( cm) / 375 ml Units: A A A A A4433 Opaque " ( cm) / 375 ml Units: A A A * For important information regarding the use of HCPCS codes listed and code definitions see page

64 2-Piece Assura Assura MIDI Urostomy Pouch Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back Transparent 9 1 2" (24 cm) / 150 ml Units: A A4433 Urostomy Night Bag and Bag Hanger See Accessories page 92 for more information. Single Use Kits SenSura Click Standard Wear Barrier + Drainable Pouch Barrier #10031 Flat with belt tabs Pouch #11196 MAXI / EasiClose WIDE Outlet Instructions for use Stoma measuring guide Cut-to-fit / Transparent Units: 5 Code Stoma Size Color HCPCS* /8-2 1 /4" (10-55 mm) A4414 A Piece Single Use Kits SenSura Click Standard Wear Barrier + Drainable Pouch Barrier #11031 Convex Light with belt tabs Pouch #11196 MAXI / EasiClose WIDE Outlet Instructions for use Stoma measuring guide Cut-to-fit / Transparent Units: 5 Code Stoma Size Color HCPCS* / /16" (15-43 mm) A4373 A4427 SenSura Click Standard Wear Barrier + Assura Urostomy Pouch Barrier #10031 Flat with belt tabs Pouch #1759 MAXI / soft outlet Urostomy adapter Instructions for use Stoma measuring guide Cut-to-fit / Transparent Units: 5 Code Stoma Size Color HCPCS* /8-2 1 /4" (10-55 mm) A4414 A4433 See previous page for night drainage bag and hanger, sold separately * For important information regarding the use of HCPCS codes listed and code definitions see page

65 2-Piece Single Use Kits Assura Standard Wear Barrier + Drainable Pouch Barrier #2883 Flat with belt tabs Pouch #15976 MAXI / EasiClose WIDE Outlet Instructions for use Stoma measuring guide Cut-to-fit / Transparent Units: 5 Code Stoma Size Color HCPCS* " (10-55 mm) Assura Standard Wear Barrier + Drainable Pouch Barrier #14263 Convex Light with belt tabs Pouch #15976 MAXI / EasiClose WIDE Outlet Instructions for use Stoma measuring guide A4414 A4427 Cut-to-fit / Transparent Units: 5 Code Stoma Size Color HCPCS* " (15-43 mm) A4373 A4427 * For important information regarding the use of HCPCS codes listed and code definitions see page

66 SenSura Mio Flex This flexible adhesive coupling fits to individual body contours and maintains a secure seal over uneven abdomens caused by scarring, skin folds, hernias, and other pouching challenges. Elastic barrier to fit real body shapes. Full-circle filter to reduce ballooning. Neutral gray textile for discretion. Two-Piece Flex

67 Ostomy Care SenSura Mio Flex Standard Wear Barrier Flat Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* /8"-1 5 /16" (10-33 mm) A /8"-1 7 /8" (10-48 mm) A /8"-2 11 /16" (10-68 mm) A4414 Pre-cut Units: 5 Code Stoma Size Color HCPCS* " (25 mm) A /8" (28 mm) A /16" (30 mm) A /4" (32 mm) A /8" (35 mm) A ½" (38 mm) A /16" (40 mm) A ¾" (45 mm) A " (50 mm) A Piece SenSura Mio Flex SenSura Mio Flex MAXI Drainable Pouch EasiClose WIDE Outlet Full-circle filter Neutral gray, water-resistant textile Opaque pouches feature peek-a-boo inspection window for easy application Transparent 11" (28 cm) / 655 ml A A4425 Opaque 11" (28 cm) / 655 ml Units: A A A4425 * For important information regarding the use of HCPCS codes listed and code definitions see page

68 2-Piece SenSura Mio Flex SenSura Mio Flex MAXI Drainable Pouch EasiClose WIDE Outlet Without Filter Neutral gray, water-resistant textile Transparent 11" (28 cm) / 655 ml Units: A A5063 SenSura Mio Flex MIDI Drainable Pouch EasiClose WIDE Outlet Full-circle filter Neutral gray, water-resistant textile Peek-a-boo inspection window for easy application Opaque " (26 cm) / 485 ml Units: A4425 SenSura Flex Standard Wear Barrier Flat Cut-to-fit Units: 10 (**Units for 10108: 5) Code Stoma Size Color HCPCS* /8-1 5 /16" (10-33 mm) A /8-1 7 /8" (10-48 mm) A /8-2 3 /4" (10-68 mm) A ** 3 /8-3 1 /2" (10-88 mm) A4415 SenSura Flex Xpro (Extended Wear) Barrier Flat Cut-to-fit Units: 10 Code Stoma Size Color HCPCS* /8-1 5 /16" (10-33 mm) A /8-1 7 /8" (10-48 mm) A /8-2 3 /4" (10-68 mm) A Piece SenSura Flex SenSura Mio Flex MAXI Closed Pouch Full-circle filter Neutral gray, water-resistant textile Opaque pouches feature peek-a-boo inspection window for easy application Transparent 8 1 4" (20½ cm) / 570 ml Units: A A A4419 SenSura Flex Standard Wear Barrier Convex Light Belt tabs Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* /8-15 /16" (15-23 mm) A /8-1 5 /16" (15-33 mm) A / /16" (15-43 mm) A /8-2" (15-53 mm) A4373 Opaque 8 1 4" (20½ cm) / 570 ml Units: A4419 Pre-cut Units: A4419 Code Stoma Size Color HCPCS* A /8" (22 mm) A " (25 mm) A /8" (28 mm) A /4" (31 mm) A4373 Indicates convexity * For important information regarding the use of HCPCS codes listed and code definitions see page

69 2-Piece SenSura Flex SenSura Flex Xpro (Extended Wear) Barrier Convex Light Belt tabs Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* /8-15 /16" (15-23 mm) A /8-1 5 /16" (15-33 mm) A / " (15-43 mm) A /8-2" (15-53 mm) A4408 SenSura Flex MAXI Closed Pouch Flter Soft cloth on back (and front of opaque) Transparent 8 1 2" (21 cm) / 570 ml Units: A A A4419 Opaque 8 1 2" (21 cm) / 570 ml Units: 30 2-Piece SenSura Flex SenSura Flex MAXI Drainable Pouch EasiClose WIDE Outlet Filter Soft cloth on back (and front of opaque) Transparent " ( cm) / 655 ml Units: A A A4419 For Assura AC urostomy pouches see page 129. For XL closed pouch, see page A A4425 Assura AC Standard Wear Barrier Flat A4425 Cut-to-fit Units: 10 (**Units for 14309: 5) Opaque " ( cm) / 655 ml Units: A A A4425 Code Stoma Size Color HCPCS* /8-1 5 /16" (10-33 mm) A /8-1 7 /8" (10-48 mm) A /8-2 3 /4" (10-68 mm) A ** 3 /8-3 1 /2" (10-88 mm) A A4425 SenSura Flex MAXI Drainable Pouch EasiClose WIDE Outlet Without filter Soft cloth on back Transparent " ( cm) / 655 ml Units: A5063 Assura AC Extended Wear Barrier Flat Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* /8-1 5 /16" (10-33 mm) A /8-1 7 /8" (10-48 mm) A /8-2 3 /4" (10-68 mm) A A5063 Indicates convexity * For important information regarding the use of HCPCS codes listed and code definitions see page

70 2-Piece Assura AC Assura AC Standard Wear Barrier Convex Light Belt tabs Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* /8-15 /16" (10-23 mm) A / /16" (15-43 mm) A / " (15-61 mm) A4373 Pre-cut Units: 5 Code Stoma Size Color HCPCS* /8" (22 mm) A " (25 mm) A4373 Assura AC XL Drainable Pouch EasiClose Outlet Without filter Soft cloth on back Transparent " (32 cm) / 750 ml Units: A5063 Assura AC MAXI Drainable Pouch EasiClose Outlet Filter Soft cloth on back 2-Piece Assura AC /8" (28 mm) A4373 Transparent " ( cm) / 600 ml Units: /4" (31 mm) A /8" (35 mm) A A A4425 Assura AC Extended Wear Barrier Convex Light Belt tabs Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* A4425 Assura AC MAXI Drainable Pouch EasiClose Outlet Filter Soft cloth on front and back /8-15 /16" (15-23 mm) A /8-1 5 /16" (15-33 mm) A / /16" (15-43 mm) A /8-2 3 /8" (15-61 mm) A4408 Opaque " ( cm) / 600 ml Units: A A4425 Assura AC XL Drainable Pouch EasiClose Outlet Filter Soft cloth on front and back Opaque " (32 cm) / 750 ml Units: A4425 Assura AC MIDI Drainable Pouch EasiClose Outlet Filter Soft cloth on back (and front of opaque) A4425 Transparent " (26 cm) / 470 ml Units: ** A A4425 * *Custom Peel. Includes perforated rings providing the option of an exact fit around the stoma. Rings are simply removed for the best fit. Indicates convexity * For important information regarding the use of HCPCS codes listed and code definitions see page

71 Opaque 8 1 2" (21 cm) / 500 ml Units: 30 2-Piece Assura AC Opaque " (26 cm) / 470 ml Units: A A A4425 Assura AC MAXI Drainable Pouch EasiClose Outlet Without filter Soft cloth on back (and front of opaque) Transparent " (28½ cm) / 600 ml Units: A A A ** A A4419 * *Custom Peel. Includes perforated rings providing the option of an exact fit around the stoma. Rings are simply removed for the best fit. Assura AC MIDI Closed Pouch Filter Soft cloth on front and back Opaque 7" (18 cm) / 250 ml Units: A A Piece Assura AC Opaque " (28½ cm) / 600 ml Units: A A5063 Urostomy Assura AC XL Closed Pouch Filter Soft cloth on front and back Opaque " ( cm) / 850 ml Units: A4419 Assura AC MAXI Urostomy Pouch Multi-chambers minimize sloshing Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back (and front of opaque) Transparent " (26½ cm) / 475 ml Units: A5073 Assura AC MAXI Closed Pouch Filter Soft cloth on back (and front of opaque) A5073 Opaque " (26½ cm) / 475 ml Units: 20 Transparent 8 1 2" (21 cm) / 500 ml Units: A A A A4419 Urostomy Night Bag and Bag Hanger See Accessories page 92 for more information ** A A4419 ** Custom Peel. Includes perforated rings providing the option of an extact fit around the stoma. Rings are simply removed for the best fit. * For important information regarding the use of HCPCS codes listed and code definitions see page

72 2-Piece Single Use Kits Single Use Kits SenSura Flex Standard Wear Barrier + MAXI Drainable Pouch Instructions for use Stoma measuring guide Barrier #10102 Flat Pouch #11512 EasiClose WIDE Outlet / filter Cut-to-fit / Transparent Units: 5 Code Stoma Size Color HCPCS* 11011K 3 /8-1 7 /8" (10-48 mm) A4414 A4425 Assura AC Standard Wear Barrier + MAXI Drainable Pouch Barrier #14302 Flat Pouch #14521 EasiClose Outlet / without filter Instructions for use Stoma measuring guide Cut-to-fit / Transparent Units: 5 Code Stoma Size Color HCPCS* /8-1 7 /8" (10-48 mm) Assura AC Standard Wear Barrier + MAXI Drainable Pouch Instructions for use Stoma measuring guide A4414 A Piece Single Use Kits Barrier #10103 Flat Pouch #11517 EasiClose WIDE Outlet / filter Barrier #14303 Flat Pouch #14344 EasiClose Outlet / filter Cut-to-fit / Transparent Units: 5 Cut-to-fit / Transparent Units: 5 Code Stoma Size Color HCPCS* Code Stoma Size Color HCPCS* /8-2 3 /4" (10-68 mm) A4415 A /8-2 3 /4" (10-68 mm) A4415 A4425 SenSura Flex Xpro (Extended Wear) Barrier + MAXI Drainable Pouch Instructions for use Stoma measuring guide Barrier #10105 Flat Pouch #11512 EasiClose WIDE Outlet / filter Cut-to-fit / Transparent Units: 5 SenSura Mio Standard Wear + Assura AC MAXI Urostomy Pouch* Urostomy adapter Instructions for use Stoma measuring guide Barrier #10561 Flat Pouch #14554 Soft outlet / multi-chamber Code Stoma Size Color HCPCS* /8-1 7 /8" (10-48 mm) Barrier #10106 Flat Pouch #11517 EasiClose WIDE Outlet / filter A4409 A4425 Cut-to-fit / Transparent Units: 5 Code Stoma Size Color HCPCS* /8-1 7 /8" (10-48 mm) A4414 A5073 Cut-to-fit / Transparent Units: 5 Code Stoma Size Color HCPCS* Urostomy Night Bag and Bag Hanger See Accessories page 92 for more information /8-2 3 /4" (10-68 mm) A4410 A4425 * For important information regarding the use of HCPCS codes listed and code definitions see page

73

74 SenSura Mio 1-piece Pouching System The standard in ostomy care Elastic barrier to fit real body shapes. 1-piece Full-circle filter to reduce ballooning. Neutral gray textile for discretion.

75 Ostomy Care SenSura Mio Standard Wear MAXI Drainable Pouch EasiClose WIDE Outlet Flat Full-circle filter Neutral gray, water-resistant textile Opaque pouches feature peek-a-boo inspection window for easy application Transparent 11" (28 cm) / 655 ml Units: Cut-to-fit 3 /8"-2 1 /8" (10-55 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 1 /8" (28 mm) A Pre-cut 1 3 /16" (30 mm) A Pre-cut 11/4" (32 mm) A Pre-cut 1 3 /8" (35 mm) A Pre-cut 1½" (38 mm) A Pre-cut 1 9 /16" (40 mm) A Pre-cut 1¾" (45 mm) A Pre-cut 2" (50 mm) A Piece SenSura Mio Opaque 11" (28 cm) / 655 ml Units: Cut-to-fit 3 /8"-2 1 /8" (10-55 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 1 /8" (28 mm) A Pre-cut 1 3 /16" (30 mm) A Pre-cut 11/4" (32 mm) A Pre-cut 1 3 /8" (35 mm) A Pre-cut 1½" (38 mm) A Pre-cut 1 9 /16" (40 mm) A Pre-cut 1¾" (45 mm) A Pre-cut 2" (50 mm) A4424 * For important information regarding the use of HCPCS codes listed and code definitions see page

76 1-Piece SenSura Mio SenSura Mio Standard Wear MIDI Drainable Pouch Flat EasiClose WIDE Outlet Full-circle filter Peek-a-boo inspection window allows easy application Neutral gray, water-resistant textile Opaque 10¼" (26 cm) / 485 ml Units: 10 Code Cut Stoma Size HCPCS* Cut-to-fit 3 /8"-1¾" (10-55 mm) A4424 SenSura Mio Standard Wear MIDI Closed Pouch Flat Full-circle filter Neutral gray, water-resistant textile Peek-a-boo inspection window allows easy application Opaque 7 1 4" (19 cm) / 340 ml Units: Cut-to-fit 5 /8"-1¾" (15-45 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 3 /16" (30 mm) A Piece SenSura Mio SenSura Mio Standard Wear MAXI Drainable Pouch Flat EasiClose WIDE Outlet Without filter Neutral gray, water-resistant textile Transparent 11" (28 cm) / 655 ml Units: 10 Code Cut Stoma Size HCPCS* Cut-to-fit 3 /8"-2 1 /8" (10-55 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 1 /8" (28 mm) A Pre-cut 1 3 /8" (35 mm) A4416 SenSura Mio Standard Wear MINI Closed Pouch Full-circle filter Neutral gray, water-resistant textile Peek-a-boo inspection window allows easy application Comfortable and discreet stoma cap alternative Opaque 5 1 4" (13 cm) / 110 ml Units: Cut-to-fit 5 /8"-1¾" (15-45 mm) A Pre-cut 11/4" (32 mm) A Pre-cut 1 3 /8" (35 mm) A Pre-cut 1½" (38 mm) A5061 SenSura Mio Standard Wear MAXI Closed Pouch Flat Full-circle filter Neutral gray, water-resistant textile Peek-a-boo inspection window allows easy application Opaque 8 1 4" (21 cm) / 550 ml Units: Cut-to-fit 5 /8"-1¾" (15-45 mm) A ** Cut-to-fit 1 9 /16"-2 1 /8" (40-55 mm) A Pre-cut 1 3 /16" (30 mm) A Pre-cut 1 3 /8" (35 mm) A ** Pre-cut 1 9 /16" (40 mm) A4416 SenSura Mio Original Standard Wear MAXI Closed Pouch Flat Filter Soft cloth on front and back Peek-a-boo inspection window allows easy application Opaque 8 1 2" (21 cm) / 550 ml Units: Cut-to-fit 5 /8-1 3 /4" (15-45 mm) A ** Cut-to-fit " (40-55 mm) A Pre-cut " (30 mm) A Pre-cut 1 3 /8" (35 mm) A * Pre-cut " (40 mm) A4416 **Because of its larger starter hole, functions as both a pre-cut and cut-to-fit solution **Because of its larger starter hole, functions as both a pre-cut and cut-to-fit solution * For important information regarding the use of HCPCS codes listed and code definitions see page

77 1-Piece SenSura Mio SenSura Mio Original Standard Wear MIDI Closed Pouch Flat Filter Soft cloth on front and back Peek-a-boo inspection window allows easy application Opaque 7" (18 cm) / 340 ml Units: Cut-to-fit 5 /8-1 3 /4" (15-45 mm) A Pre-cut 1" (25 mm) A Pre-cut " (30 mm) A4416 SenSura Standard Wear MAXI Drainable Pouch Flat EasiClose WIDE Outlet Filter Soft cloth on back (and front of opaque) Transparent " ( cm) / 655 ml Units: Cut-to-fit 3 /8-3" (10-76 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 3 /16" (30 mm) A Pre-cut 1 3 /8" (35 mm) A Piece SenSura Pre-cut 1 3 /8" (35 mm) A4416 Opaque " ( cm) / 655 ml Units: 20 SenSura Mio Original Standard Wear MINI Closed Pouch Flat Filter Soft cloth on front and back Peek-a-boo inspection window allows easy application Opaque 5 1 2" (14 cm) / 110 ml Units: Cut-to-fit 5 /8-1 3 /4" (15-45 mm) A Cut-to-fit 3 /8-3" (10-76 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 3 /16" (30 mm) A Pre-cut 1 3 /8" (35 mm) A4424 SenSura Standard Wear MAXI Drainable Pouch Flat EasiClose WIDE Outlet Without filter Soft cloth on back Urostomy SenSura Mio Standard Wear MAXI Urostomy Pouch Neutral gray, water-resistant textile on back Flat Multi-chambers minimize sloshing Anti-reflux valves prevent urine from washing over the stoma Soft outlet can be connected to urostomy night bag #21365 Transparent " ( cm) / 655 ml Units: Cut-to-fit 3 /8-3" (10-76 mm) A5061 Transparent " (27 cm) / 400 ml Units: Cut-to-fit 3 /8"-1¾" (10-45 mm) A5071 * For important information regarding the use of HCPCS codes listed and code definitions see page

78 1-Piece SenSura SenSura Xpro (Extended Wear) MAXI Drainable Pouch Flat EasiClose WIDE Outlet Filter Soft cloth on back (and front of opaque) Transparent " ( cm) / 655 ml Units: Cut-to-fit 3 /8-3" (10-76 mm) A5056 Opaque " ( cm) / 655 ml Units: Pre-cut 1" (25 mm) A5056 SenSura Xpro (Extended Wear) MAXI Drainable Pouch Convex Light EasiClose WIDE Outlet Filter Belt tabs Soft cloth on back (and front of opaque) Transparent " ( cm) / 655 ml Units: Cut-to-fit 5 /8-1 5 /16" (15-33 mm) A Cut-to-fit 5 / /16" (15-43 mm) A Piece SenSura Pre-cut 1 3 /16" (30 mm) A Pre-cut 1 1 /4" (32 mm) A Pre-cut 1 1 /2" (38 mm) A5056 Opaque " ( cm) / 655 ml Units: 10 SenSura Standard Wear MAXI Drainable Pouch Convex Light EasiClose WIDE Outlet Filter Belt tabs Soft cloth on back (and front of opaque) Transparent " ( cm) / 655 ml Units: Cut-to-fit 5 / /16" (15-43 mm) A Pre-cut 7 /8" (22 mm) A Pre-cut 1" (25 mm) A5057 SenSura Standard Wear MAXI Drainable Pouch Flat Soft outlet for liquid stool can connect to a drain bag (e.g. #14010) at night Filter Soft cloth on front and back Peek-a-boo inspection window allows easy application Pre-cut 1" (25 mm) A4389 Opaque " (32 cm) / 630 ml Units: Pre-cut 1 1 8" (28 mm) A Cut-to-fit 3 /8-3" (10-76 mm) A4424 For bed drainage bag, see page 92. Opaque " ( cm) / 655 ml Units: Cut-to-fit 5 / /16" (15-43 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 1 /8" (28 mm) A4389 SenSura Standard Wear MAXI Closed Pouch Flat Filter Soft cloth on front and back Opaque 8 1 2" (21 cm) / 550 ml Units: Cut-to-fit 3 /8-3" (10-76 mm) A Pre-cut 1 3 /8" (35 mm) A4416 Indicates convexity * For important information regarding the use of HCPCS codes listed and code definitions see page

79 1-Piece SenSura Urostomy SenSura Standard Wear MAXI Urostomy Pouch Flat Multi-chambers minimize sloshing Anti-reflux valves prevent urine from washing over the stoma Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back SenSura Standard Wear MAXI Urostomy Pouch Convex Light Multi-chambers minimize sloshing Anti-reflux valves prevent urine from washing over the stoma Soft outlet can be connected to urostomy night bag #21365 Belt tabs Soft cloth on back 1-Piece SenSura Transparent " (26 cm) / 400 ml Units: 10 Transparent " (26 cm) / 400 ml Units: Cut-to-fit 3 /8-3" (10-76 mm) A Cut-to-fit 5 /8-1 5 /16" (15-33 mm) A4392 SenSura Standard Wear MIDI Urostomy Pouch Flat Multi-chambers minimize sloshing Anti-reflux valves prevent urine from washing over the stoma Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back SenSura Xpro (Extended Wear) MAXI Urostomy Pouch Convex Light Multi-chambers minimize sloshing Anti-reflux valves prevent urine from washing over the stoma Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back (and front of opaque) Transparent 9 1 2" (24 cm) / 330 ml Units: Cut-to-fit 3 /8-2 1 /2" (10-66 mm) A5071 Transparent " (26 cm) / 400 ml Units: Cut-to-fit 5 /8-1 5 /16" (15-33 mm) A4393 SenSura Xpro (Extended Wear) MAXI Urostomy Pouch Flat Multi-chambers minimize sloshing Anti-reflux valves prevent urine from washing over the stoma Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back (and front of opaque) Transparent " (26 cm) / 400 ml Units: 10 Opaque " (26 cm) / 400 ml Units: Pre-cut 7 /8" (22 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 1 /4" (32 mm) A4393 Urostomy Night Bag and Bag Hanger See Accessories page 92 for more information Cut-to-fit 3 /8-3" (10-76 mm) A4391 Opaque " (26 cm) / 400 ml Units: Pre-cut 7 /8" (22 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 3 /16" (30 mm) A Pre-cut 1 1 /4" (32 mm) A4391 Indicates convexity * For important information regarding the use of HCPCS codes listed and code definitions see page

80 1-Piece Assura EasiClose WIDE outlets offer a 1/2" wider integrated closure for easy, fast emptying on the go. Assura Standard Wear MAXI Drainable Pouch Flat EasiClose WIDE Outlet Filter Soft cloth on back (and front of opaque) Transparent " (29 cm) / 530 ml Units: Cut-to-fit 3 /8-3" (10-75 mm) A4424 Assura Standard Wear MAXI Drainable Pouch Convex Light EasiClose WIDE Outlet Filter Belt tabs Soft cloth on back Transparent " (29 cm) / 530 ml Units: Cut-to-fit 5 / " (15-33 mm) A Pre-cut 5 / " (15-43 mm) A Piece Assura Opaque " (29 cm) / 530 ml Units: Cut-to-fit 3 /8-3" (10-75 mm) A Pre-cut 1" (25 mm) A Pre-cut " (30 mm) A Pre-cut 1 3 8" (35 mm) A4424 Assura Standard Wear MAXI Drainable Pouch Flat EasiClose Outlet Filter Soft cloth on back (and front of opaque) Transparent " ( cm) / 530 ml Units: 10 Assura Standard Wear MAXI Drainable Pouch Flat EasiClose WIDE Outlet Without filter Soft cloth on front and back Opaque " (29 cm) / 530 ml Units: Cut-to-fit 3 /8-3" (10-75 mm) A Cut-to-fit 3 /8-3" (10-75 mm) A4424 Opaque " ( cm) / 530 ml Units: Cut-to-fit 3 /8-3" (10-75 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 3 /16" (30 mm) A Pre-cut 1 3 /8" (35 mm) A4424 Assura Extended Wear MAXI Drainable Pouch Flat EasiClose WIDE Outlet Without filter Soft cloth on back (and front of opaque) Transparent " ( cm) / 530 ml Units: Cut-to-fit 3 /8-3" (10-75 mm) A4388 Assura Standard Wear MIDI Drainable Pouch Flat EasiClose Outlet Filter Soft cloth on front and back Opaque " (26 cm) / 390 ml Units: Cut-to-fit 3 /8-2 1 /2" (15-65 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 3 /16" (30 mm) A4424 Opaque " ( cm) / 530 ml Units: Pre-cut 1 3 /8" (35 mm) A Cut-to-fit 3 /8-3" (10-75 mm) A4388 Indicates convexity * For important information regarding the use of HCPCS codes listed and code definitions see page

81 1-Piece Assura Assura Standard Wear MAXI Drainable Pouch Convex Light EasiClose Outlet Filter Belt tabs Soft cloth on back (and front of opaque) Transparent " ( cm) / 530 ml Units: 10 Assura Standard Wear MAXI Drainable Pouch Convex EasiClose Outlet Filter Belt tabs Soft cloth on back (and front of opaque) Transparent " ( cm) / 530 ml Units: 10 1-Piece Assura Cut-to-fit 5 /8-1 5 /16" (15-33 mm) A Cut-to-fit 5 / /16" (15-43 mm) A Cut-to-fit 5 / /16" (15-43 mm) A Pre-cut 7 /8" (22 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 1 /8" (28 mm) A4389 Opaque " ( cm) / 530 ml Units: Pre-cut 1 1 /4" (31 mm) A Cut-to-fit 5 / " (15-33 mm) A4389 Opaque " ( cm) / 530 ml Units: Cut-to-fit 5 / " (15-43 mm) A Cut-to-fit 5 / /16" (15-43 mm) A Pre-cut 7 /8" (22 mm) A Pre-cut 7 /8" (22 mm) A Pre-cut 1" (25 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 1 /8" (28 mm) A Pre-cut 1 1 /8" (28 mm) A Pre-cut 1 1 /4" (31 mm) A Pre-cut 1 1 /4" (31 mm) A Piece Assura Standard Wear MIDI Drainable Pouch Convex Light EasiClose Outlet Filter Belt tabs Soft cloth on front and back Assura Standard Wear MIDI Drainable Pouch Convex EasiClose Outlet Filter Belt tabs Soft cloth on front and back 1-Piece Opaque " (26 cm) / 390 ml Units: 10 Opaque " (26 cm) / 390 ml Units: Cut-to-fit 5 / " (15-33 mm) A Cut-to-fit 5 / /16" (15-43 mm) A Cut-to-fit 5 / /16" (15-43 mm) A4389 Indicates convexity Indicates convexity * For important information regarding the use of HCPCS codes listed and code definitions see page

82 1-Piece Assura Assura Extended Wear MAXI Drainable Pouch Convex EasiClose Outlet Without filter Belt tabs Soft cloth on back (and front of opaque) Transparent " ( cm) / 530 ml Units: Cut-to-fit 5 / " (15-33 mm) A4390 Assura Standard Wear MAXI Drainable Pouch Convex Clamp closure Without filter Belt tabs Soft cloth on back (and front of opaque) Transparent " ( cm) / 530 ml Units: Cut-to-fit 5 / /16" (15-43 mm) A Piece Assura Cut-to-fit 5 / /16" (15-43 mm) A4390 Opaque " ( cm) / 530 ml Units: Cut-to-fit 5 / /16" (15-43 mm) A4390 Opaque " ( cm) / 530 ml Units: Cut-to-fit 5 / /16" (15-43 mm) A4389 Assura Standard Wear MAXI Drainable Pouch Flat Clamp closure Without filter Soft cloth on back (and front of opaque) Transparent " ( cm) / 530 ml Units: 10 Assura Standard Wear MINI Drainable Pouch Convex Clamp closure Without filter Belt tabs Soft cloth on back Cut-to-fit 3 / " (10-70 mm) A5061 Transparent 9 3 4" ( cm) / 230 ml Units: 10 1-Piece Opaque " ( cm) / 530 ml Units: Cut-to-fit 3 / " (10-70 mm) A Cut-to-fit 5 / /16" (15-43 mm) A Piece Assura Standard Wear MINI Drainable Pouch Flat Clamp closure Without filter Soft cloth on back (and front of opaque) Transparent 9 3 4" ( cm) / 230 ml Units: Cut-to-fit 3 / " (10-55 mm) A5061 Opaque 9 3 4" ( cm) / 230 ml Units: Cut-to-fit 3 / " (10-55 mm) A5061 Indicates convexity Indicates convexity * For important information regarding the use of HCPCS codes listed and code definitions see page

83 1-Piece Assura Assura Extended Wear MAXI Drainable Pouch Convex Clamp closure Without filter Belt tabs Soft cloth on back (and front of opaque) Transparent " ( cm) / 530 ml Units: 10 Opaque 7" (18 cm) / 350 ml Units: Cut-to-fit " (20-65 mm) A Pre-cut 1" (25 mm) A Pre-cut " (30 mm) A Pre-cut 1 3 8" (35 mm) A Pre-cut " (40 mm) A Pre-cut 2" (50 mm) A Piece Assura Cut-to-fit 5 / " (15-43 mm) A4390 Opaque " ( cm) / 530 ml Units: 10 Assura Standard Wear MINI Closed Pouch Flat Filter Soft cloth on front and back Cut-to-fit 5 / " (15-43 mm) A4390 Opaque 5" (12 cm) / 170 ml Units: 30 Assura Standard Wear MAXI Closed Pouch Flat Filter Soft cloth on front and back Opaque 8 1 2" (22 cm) / 530 ml Units: Cut-to-fit 13 /16-3" (20-75 mm) A Cut-to-fit 13 / " (20-65 mm) A4416 Assura Standard Wear MAXI Closed Pouch Convex Light Filter Belt tabs Soft cloth on back (and front of opaque) Pre-cut 1" (25 mm) A Pre-cut 1 3 /16" (30 mm) A4416 Transparent 8 1 2" (22 cm) / 560 ml Units: Pre-cut 1 3 /8" (35 mm) A Pre-cut 1 9 /16" (40 mm) A Cut-to-fit 5 /8-1 5 /16" (15-33 mm) A Cut-to-fit 5 / /16" (15-43 mm) A4417 Assura Standard Wear MIDI Closed Pouch Flat Filter Soft cloth on back (and front of opaque) Opaque Units: Cut-to-fit 5 /8-1 5 /16" (15-33 mm) A Cut-to-fit 5 / /16" (15-43 mm) A4417 Transparent 7" (18 cm) / 350 ml Units: Cut-to-fit 13 / " (20-65 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 3 /16" (30 mm) A Pre-cut 1 3 /8" (35 mm) A4416 Indicates convexity Indicates convexity * For important information regarding the use of HCPCS codes listed and code definitions see page

84 1-Piece Assura Assura Standard Wear MIDI Closed Pouch Convex Light Filter Belt tabs Soft cloth on back (and front of opaque) Transparent 7" (18 cm) / 350 ml Units: 10 Urostomy Assura Standard Wear MAXI Urostomy Pouch Flat Multi-chambers minimize sloshing Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back 1-Piece Assura Cut-to-fit 5 / " (15-33 mm) A Cut-to-fit 5 / " (15-43 mm) A4417 Transparent " ( cm) / 470 ml Units: Cut-to-fit 3 / " (10-55 mm) A5071 Opaque 7" (18 cm) / 350 ml Units: Cut-to-fit 5 / " (15-33 mm) A Cut-to-fit 5 / " (15-43 mm) A Pre-cut 7 /8" (22 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 1 8" (28 mm) A Pre-cut 1 1 4" (31 mm) A4417 Assura Standard Wear MAXI Urostomy Pouch Convex Light Multi-chambers minimize sloshing Soft outlet can be connected to urostomy night bag #21365 Belt tabs Soft cloth on back Assura Standard Wear Stoma Cap Flat Filter Belt tabs Soft cloth on back Small pouch size for discreet moments Transparent " ( cm) / 470 ml Units: Cut-to-fit 5 / " (15-43 mm) A4392 Opaque Units: Cut-to-fit 13 / " (20-55 mm) A5055 Assura Standard Wear MAXI Urostomy Pouch Flat Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back (and front of opaque) Transparent " (27 cm) / 465 ml Units: Cut-to-fit 3 / " (10-55 mm) A5071 Opaque " (27 cm) / 465 ml Units: Cut-to-fit 3 / " (10-55 mm) A5071 Indicates convexity Indicates convexity * For important information regarding the use of HCPCS codes listed and code definitions see page

85 1-Piece Assura Assura Standard Wear MIDI Urostomy Pouch Flat Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back (and front of opaque) Transparent 7" (18 cm) / 265 ml Units: Cut-to-fit 3 /8-2 1 /4" (10-55 mm) A5071 Opaque 7" (18 cm) / 265 ml Units: Cut-to-fit 3 / " (10-55 mm) A5071 Assura Standard Wear MAXI Urostomy Pouch Convex Soft outlet can be connected to urostomy night bag #21365 Belt tabs Soft cloth on back " (27 cm) / 465 ml Transparent Units: Cut-to-fit 5 /8-1 5 /16" (15-33 mm) A Cut-to-fit 5 / /16" (15-43 mm) A Pre-cut 5 /8 " (15 mm) A Piece Assura Assura Extended Wear MAXI Urostomy Pouch Flat Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back Pre-cut 3 /4 " (18 mm) A Pre-cut 7 /8 " (22 mm) A Pre-cut 1" (25 mm) A Pre-cut 1 1 /8" (28 mm) A Pre-cut 1 1 /4" (31 mm) A Pre-cut 1 3 /8" (35 mm) A4392 Transparent 9 1 2" (24 cm) / 375 ml Units: Cut-to-fit 3 / " (10-55 mm) A4391 Assura Extended Wear MIDI Urostomy Pouch Flat Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back (and front of opaque) Assura Extended Wear MAXI Urostomy Pouch Convex Soft outlet can be connected to urostomy night bag #21365 Belt tabs Soft cloth on back " (27 cm) / 465 ml Transparent Units: 10 Transparent 9 1 2" (24 cm) / 265 ml Units: Cut-to-fit 3 / " (10-55 mm) A Cut-to-fit 5 / " (15-33 mm) A Cut-to-fit 5 / " (15-43 mm) A4393 Opaque Units: Cut-to-fit 3 / " (10-55 mm) A4391 * For important information regarding the use of HCPCS codes listed and code definitions see page

86 1-Piece Single Use Kits Single Use Kits SenSura 1-piece Single Use Kit Pouch #15521 MAXI / EasiClose WIDE Outlet Instructions for use Stoma measuring guide Transparent Units: Cut-to-fit 3 /8-3" (10-76 mm) A4424 Assura 1-piece Single Use Kit Pouch #15860 MAXI / EasiClose WIDE Outlet Instructions for use Stoma measuring guide Transparent Units: Cut-to-fit 3 /8-3" (10-76 mm) A4424 * For important information regarding the use of HCPCS codes listed and code definitions see page

87 SenSura Post-op pouches. Security. Right from the start. Your patients deserve all the benefits of SenSura from day one following their operation. The post-operative phase is critical for you and your patients. You need appliances that allow you to provide the right care, and your patients need appliances that give them comfort and peace of mind following their operation. Our new range of SenSura Post-Op pouches provides ease of use and optimal security with our unique double-layer adhesive. For optimal discretion in the transition from the hospital to the community, consider the SenSura 1-piece Drainable pouch on page 141. Post-op For extra high capacity, consider the SenSura Click Magnum high output pouch on page 103.

88 Ostomy Care SenSura Standard Wear 1-piece Post-Op Pouch w/ Window Flat Soft outlet can connect to bed drain bag #14010 Easy-to-open and -close access window attached to pouch Soft cloth on back Transparent 13" (33 cm) / 830 ml Units: Cut-to-fit 3 /8-3" (10-76 mm) A Cut-to-fit 3 /8-4 1 /2" ( mm) A6154 SenSura Standard Wear 1-piece STERILE Post-Op Pouch w/ Window Flat Soft outlet can connect to bed drain bag #14010 Easy-to-open and -close access window attached to pouch Soft cloth on back 1-Piece Post-Op / Wound Pouches Transparent 13" (33 cm) / 830 ml Units: Cut-to-fit 3 /8-3" (10-76 mm) A Cut-to-fit 3 /8-4 1 /2" ( mm) A6154 SenSura Standard Wear 1-piece Post-Op Pouch Flat Soft outlet can connect to bed drain bag #14010 Effective pouching solution for small fistulas Soft cloth on back Transparent " (31 cm) / 690 ml Units: Cut-to-fit 3 /8-3" (10-76 mm) A6154 * For important information regarding the use of HCPCS codes listed and code definitions see page

89 1-Piece Post-Op / Wound Pouches SenSura Standard Wear 1-piece STERILE Post-Op Pouch Flat Soft outlet can connect to bed drain bag #14010 Soft cloth on front and back Peek-a-boo inspection window ensures easy placement and visualization of the stoma Opaque " (31 cm) / 690 ml Units: Cut-to-fit 3 /8-3" (10-76 mm) A6154 For a non-sterile version, see page 141. For SenSura Magnum high output pouches, and a non-sterile version, see page 103. Assura Standard Wear 1-piece Post-Op Pouch w/ Window Flat Soft outlet can connect to bed drain bag #14010 Easy-to-open and -close access window Soft cloth on back Post-Op Accessories Replacement window for Assura post-op pouches Cut-to-fit Code Size Units HCPCS* Matches 1 /2-2 3 /4" (12800, 12808) 20 A Matches 1 /2-3 7 /8" (12802, 12810) Assura Standard Wear 1-piece Post-Op Pouch Flat Soft outlet can connect to bed drain bag #14010 Soft cloth on back 15 A4421 Transparent " (31 cm) / 690 ml Units: Cut-to-fit 1 /2-2 3 /4" (13-70 mm) A Piece Post-Op / Wound Pouches Transparent 13" (33 cm) / 830 ml Units: Cut-to-fit 1 /2-2 3 /4" (13-70 mm) A Cut-to-fit 1 /2-4" ( mm) A6154 Assura Standard Wear 1-piece STERILE Post-Op Pouch Flat Soft outlet can connect to bed drain bag #14010 Soft cloth on back Transparent " (31 cm) / 690 ml Units: Cut-to-fit 1 /2-2 3 /4" (13-70 mm) A6154 For Assura high output pouches and ileo night pouches, see page 112. Assura Standard Wear 1-piece STERILE Post-Op Pouch w/ Window Flat Soft outlet can connect to bed drain bag #14010 Easy-to-open and -close access window Soft cloth on back Transparent 13" (33 cm) / 830 ml Units: Cut-to-fit 1 /2-2 3 /4" (13-70 mm) A Cut-to-fit 1 /2-4" ( mm) A6154 For extra Assura post-op windows (sold separately), see next page. * For important information regarding the use of HCPCS codes listed and code definitions see page

90 Fistula / Wound Management Pump Easy to inflate the ring Double-layer adhesive Flexible and long-lasting Protects skin from drainage Tracing Guide Provides accuracy in cutting fistula or wound patterns Inflatable Ring Provides stability when applying the lid Prevents leakage Drain Port Allows for catheter insertion Flexible Lid Easy to apply and remove Allows access to dress the wound Outlets Spigots make draining fistulas/wounds easy Coloplast Fistula and Wound Management System Each system includes: 1 pouch and tracing guide 1 drain port (extras sold separately on next page) 1 lid (extras sold separately on next page) 1 clear drape 1 clamp Each box includes one pump. Fistula / Wound Pouch Accessories Coloplast Fistula Drain Port Can be easily applied to the lid to allow for catheter insertion. For catheters ranging from 18FR - 22FR, the drain port is ready for use. For catheters ranging from 24FR - 30FR, pull off the top of the drain port - DO NOT CUT. Units: 12 Code Size HCPCS* One size A4421 Coloplast Bed Drainage Bag Bag tubing specifically designed for fistula output. Holds up to 2000ml. Long tubing can be cut easily, allowing nurses to find the right length for bed drainage. Units: 6 Code Size HCPCS* ml A4357 For matching bag hanger, see page 92. Coloplast Transparent Fistula Lids Replacement lids match the transparent lid included with each fistula pouch. Fistula Accessories Units: 10 Code Size HCPCS* Mini (matches 14050) A Mini Midi Maxi Midi (matches 14060) A4421 Units: 3 Units for 14050: Maxi (matches 14070) A Mini 4 1 /8 x 6 1 /4" ( mm) A Midi 6 1 /8 x 9" ( mm) A Maxi 8 1 /8 x 11 3 /4" ( mm) A6154 Coloplast Pouch Clamp Simple closure clamp is easy to manipulate, even for those with low dexterity. Units: 20 Code Size HCPCS* 9500 One size A4363 * For important information regarding the use of HCPCS codes listed and code definitions see page

91 Fistula Accessories: Extra Protection Extra Protection Brava Elastic Barrier Strips Skin-friendly strips are used to picture frame around an ostomy barrier, providing extra security. Elastic (follows the contours of the body) Ensures the position of your barrier and minimizes roll-up Skin-friendly and secure alternative to tape Brava Elastic Barrier Strips- Curved For round or oval barrier shapes Code Size Units HCPCS* * 5½" strips 20 strips A4362 *2 strips = 1 billable unit of A4362 Brava Elastic Barrier Strips- Y shape Designed for users with varying body shapes, e.g. hernias or skin folds Code Size Units HCPCS* * 5 3 /4" strips 30 strips A5121 *3 strips = 1 billable unit of A5121 Brava Elastic Barrier Strips- Straight For square or rectangular barrier shapes Code Size Units HCPCS* * 51/4" strips 20 strips A4362 *2 strips = 1 billable unit of A4362 Brava Moldable Rings Absorb moisture (e.g. very liquid output) without breaking down Easy to handle, mold, and apply Alcohol-free = sting-free Code Size Units HCPCS* mm (thin) 10 A mm (thick) 10 A4385 Brava Paste A sting-free alternative to conventional alcohol-based paste Creates a tight, effective seal between the skin and the fistula appliance Contains pectin Code Size Units HCPCS* oz 1 A4406 Coloplast Paste Used to fill in uneven skin surfaces to create a flat pouching surface Provides tight sealing around the stoma Protects against stoma output Minimizes risk of maceration Non-pectin Code Size Units HCPCS* oz 12 A4405 Fistula Accessories: Extra Protection Brava Strip Paste Pectin-based product protects skin from effluent Used to create a tight seal between the fistula or wound manager and healthy skin Alcohol-free = sting-free Brava Powder Provides effective moisture absorption and protection Units: 16 Code Size HCPCS* oz A4371 Code Size Units HCPCS* oz package (.2 oz / strip) 10 strips A4406 Brava Adhesive Remover Spray Designed to lift the edges of the barrier for ease in removal Dry within seconds without leaving an oily residue behind Alcohol-free, silicone- based, and sting-free Code Size Units HCPCS* oz (50 ml) 1 A * For important information regarding the use of HCPCS codes listed and code definitions see page

92 Fistula Accessories: Extra Protection Brava Adhesive Remover Wipes Wipe away adhesive residue Dry within seconds without leaving an oily residue behind Alcohol-free, silicone- based, and sting-free Code Size Units HCPCS* wipe 30 wipes/box A4456 Brava Skin Barrier Spray Protect against stoma output and adhesives Dry within seconds without building a thick or tacky layer Alcohol-free, silicone- based, and sting-free Code Size Units HCPCS* oz (50 ml) 1 A4369 Brava Skin Barrier Wipes Protect against stoma output and adhesives Dry within seconds without building a thick or tacky layer Alcohol-free, silicone- based, and sting-free Code Size Units HCPCS* wipe 30 wipes/box A5120 * For important information regarding the use of HCPCS codes listed and code definitions see page

93 Coloplast Pediatric Pouching Systems Coloplast offers pediatric pouches in many different styles and sizes to accomodate the different stages in a child s life. Coloplast offers one-piece and two-piece ostomy pouching systems, as well as, drainable, closed-end (non-drainable), and spout (urostomy) pouches. Pediatric

94 For younger children Assura AC (Adhesive Coupling) Pediatric A simple, soft, secure system for neonates! This ostomy pouching system is based on adhesives that make it easy to apply the pouch to the barrier. The pouching system is easy to clean, soft and comfortable, safe and simple to handle with the EasiClose TM standard integrated outlet. Assura AC Pediatric Standard Wear Barrier Flat No starter hole Cut-to-fit Units: 10 Code Stoma Size Color HCPCS* " (0-17 mm) A " (0-27 mm) A4414 Assura AC Pediatric Drainable Pouch EasiClose Outlet Filter Soft cloth on back Transparent 5 1 2" (14 cm) Units: 10 Code Length Color HCPCS* ½" (14 cm) A ½" (16 cm) A Piece AC Pediatric Pouches / Barriers Assura AC Pediatric Drainable Pouch EasiClose Outlet Filter Soft cloth on front and back Opaque (Teddy Bear) 5 1 2" (14 cm) Units: 10 Code Length Color HCPCS* ½" (14 cm) A ½" (16 cm) A4425 Pediatric Ask us about our pediatric education! Pregnancy with an Ostomy Pediatric FAQ My Child Has An Ostomy: A Resource Sheet for Caregivers Life After Your Child s Ostomy When I Met Tipster: A coloring book for children with ostomies Life After Your Child s Ostomy * For important information regarding the use of HCPCS codes listed and code definitions see page

95 2-Piece AC Pediatric / Teen Pouches / Barriers For older children and/or larger stomas SenSura Mio Flex Standard Wear Barrier Flat Cut-to-fit Units: 10 Code Stoma Size Color HCPCS* " (10-33 mm) A4414 SenSura Flex Standard Wear Barrier Flat Cut-to-fit Units: 10 Code Stoma Size Color HCPCS* " (10-33 mm) A4414 Assura AC* MIDI Drainable Pouch EasiClose Outlet Filter Soft cloth on front and back Opaque " (26 cm) / 470 ml Units: A4425 *SenSura Mio Flex, SenSura Flex and Assura AC can be used interchangeably as long as the coupling size/ color (e.g. green) match. For younger children/smaller pouch sizes Assura 2-piece Pediatric Pouching Systems Specifically developed adhesive and a smaller barrier size are ideal for pediatrics, while a mix-and-match "green" flange size offers versatility. The SenSura and Assura pouches and barrier may be used interchangeably with "green"-sized adult SenSura or Assura products for a broad array of pouching options. Assura Pediatric Standard Wear Barrier Flat Cut-to-fit Units: " (10-35 mm) A4414 Assura Pediatric Drainable Pouch Clamp closure Soft cloth on back Transparent 8 1 2" (21 cm) / 150 ml Units: A Piece Click Pediatric / Pouches / Barriers Pediatric Assura AC* MIDI Closed Pouch With filter Soft cloth on front and back Opaque 7" (18 cm) / 250 ml Units: A4419 Assura Pediatric Closed Pouch Soft cloth on front and back Opaque 5 3 4" ( cm) Units: A4423 Pediatric Assura AC* MAXI Urostomy Pouch Multi-chambers minimize sloshing Soft outlet can be connected to urostomy night bag #21365 Soft cloth on back Assura Stoma Cap With filter Soft cloth on front Small size is optimal for intimate moments or colostomates who irrigate Transparent " ( cm) / 475 ml Units: 20 Opaque Units: A A5055 * For important information regarding the use of HCPCS codes listed and code definitions see page

96 2-Piece Pediatric Pouches / Barriers Assura Pediatric Urostomy Pouch Soft outlet can be connected to a drain bag for nighttime use, or a leg bag for people in a wheelchair - see page 92 for options Can be connected to a drain bag for nighttime use, or a leg bag during the day Soft cloth on back Transparent 8 1 2" (21 cm) / 150 ml Units: A4433 Assura Urostomy Micro-Pouch Miniature size prevents twisting Soft outlet can be connected to a drain bag for nighttime use, or a leg bag for people in a wheelchair - see page 92 for options Soft cloth on front Transparent 6" (15 cm) Units: A4433 Assura Urostomy Minicap Ultra-absorbent material inside Small size is optimal for intimate use Soft cloth on front Opaque 100 ml Units: A5055 SenSura Mio Click MIDI Drainable Pouch EasiClose WIDE Outlet Filter Neutral gray, water-resistant textile Peek-a-boo inspection window for easy placement Opaque " (26 cm) / 485 ml Units: A4427 SenSura Mio Click MIDI Closed Pouch Filter Neutral gray, water-resistant textile Peek-a-boo inspection window for easy placement Opaque 7 1 4" (18½ cm) / 275 ml Units: A4423 SenSura Mio Click Uro MIDI Urostomy Pouch Multi-chambers minimize sloshing Wider anti-reflux valves prevent urine from washing over the stoma Soft outlet can be connected to a drain bag for nighttime use, or a leg bag for people in a wheelchair - see page 92 for options Neutral gray, water-resistant textile Peek-a-boo inspection window for easy placement 2-Piece Pediatric / Teen Urostomy Pouches Opaque " ( cm) / 480 ml Units: A4433 For older children and/or larger pouch sizes Note: SenSura Mio Click products cannot be used together with SenSura Click or Assura 2-piece products SenSura Mio Click Standard Wear Barrier Flat Belt tabs For additional pouching options, consider SenSura Click adult pouches and barriers. Urostomy Night Bag and Bag Hanger See Accessories page 92 for more information. Cut-to-fit Units: 5 Code Stoma Size Color HCPCS* " (10-35 mm) A * For important information regarding the use of HCPCS codes listed and code definitions see page

97 1-Piece Pediatric Pouching Systems For younger children/smaller pouch sizes ColoKids 1-piece Pediatric Pouching Systems Specially developed Assura "swiss roll" technology provides moisture absorption and balance while offering consistent tack and adhesion to the skin. Smaller pouch sizes provide a pediatricfriendly pouching option. ColoKids (Standard Wear) 1-piece Drainable Pouch Flat Clamp closure Soft cloth on back Transparent Units: Cut-to-fit " (10-35 mm) A5061 ColoKids (Standard Wear) 1-piece Closed Pouch Flat Soft cloth on back For older children/larger pouch sizes SenSura Mio Standard Wear MIDI Drainable Pouch Flat EasiClose WIDE Outlet Filter Neutral gray, water-resistant textile Peek-a-boo inspection window for easy placement Opaque " (26 cm) / 485 ml Units: Cut-to-fit " (10-45 mm) A4424 SenSura Mio Standard Wear MIDI Closed Pouch Flat Filter Neutral gray, water-resistant textile Peek-a-boo inspection window for easy placement Opaque 7 1 4" (19 cm) / 340 ml Units: Cut-to-fit " (15-45 mm) A Piece Pediatric / Teen Pouches Transparent Units: Cut-to-fit " (10-35 mm) A4416 Pediatric ColoKids (Standard Wear) 1-piece Urostomy Pouch Flat Soft outlet can be connected to a drain bag for nighttime use, or a leg bag for people in a wheelchair - see page 92 for options Soft cloth on back Transparent Units: Cut-to-fit " (15-35 mm) A5071 For pediatric-friendly leg bag drainage options (sold separately), see page 176. SenSura Mio Standard Wear MINI Closed Pouch Flat Filter Neutral gray, water-resistant textile Peek-a-boo inspection window for easy placement Comfortable and discreet stoma cap alternative Opaque 5 1 4" (13 cm) / 110 ml Units: Cut-to-fit " (15-45 mm) A4416 SenSura Standard Wear MAXI Urostomy Pouch Flat Multi-chambers minimize sloshing Anti-reflux valves prevent urine from washing over the stoma Soft outlet can be connected to a drain bag for nighttime use, or a leg bag for people in a wheelchair - see page 92 for options Neutral gray, water-resistant textile Pediatric Transparent " (27 cm) / 400 ml Units: Cut-to-fit " (10-45 mm) A5071 * For important information regarding the use of HCPCS codes listed and code definitions see page

98 1-Piece Pediatric / Teen Pouches Leg Bags Conveen Active Leg Bag The Conveen Active Leg bag provides a reliable and discreet solution for patients. It wraps around the thigh with the bag facing inward for minimal visibility. The bag s fabric fastening system enables hassle-free fitting and keeps the bag in place. Code Size Units Description HCPCS* oz. (250 ml) 30 Non-sterile A4358 Security+ Contoured Leg Bag with Non-Latex Fabric Leg Bag Straps Deluxe leg bag with pre-attached, adjustable, anti-kink tubing. Secure, user-friendly closure, soft cloth backing, anti-reflux valve, and chambered panels for discretion and low profile. Not made with natural rubber latex. Code Size Units Description HCPCS* oz. (600 ml) 10 Medium with A " tubing Bathing Bedside-Care EasiCleanse (page 67) Moisturizers Sween Cream (page 68) Sween 24 Cream (page 68) Sween Lotion (page 68) Skin Protectants Critic-Aid Clear (page 70) Critic-Aid Skin Paste (page 70) 1-Piece Pediatric / Teen Pouches Night Drainage Bags Wound Dressings Urostomy Night Bag and Bag Hanger See Accessories page 92 for more information. Triad Hydrophilic Wound Dressing (page 57) Product recommendations based on: Association of Women s Health, Obstetric and Neonatal Nurses. Neonatal Skin Care, Third Edition. Evidence-Based Clinical Practice Guideline, * For important information regarding the use of HCPCS codes listed and code definitions see page

99 Pediatric

100 Conversion sheet: Ostomy 1-Piece Pouching Systems Convert from Code Size Units Convert to Code Size Units Assura 1-Piece Drainable Pouch, EasiClose WIDE Outlet, Transparent, w/o Filter Assura 1-Piece Drainable Pouch, EasiClose WIDE Outlet, Convex Light, Opaque SenSura 1-Piece Drainable Pouch, Cut-to-fit " EasiClose WIDE Outlet, Transparent, w/o Filter Cut-to-fit 10 SenSura 1-Piece Drainable Pouch, " EasiClose WIDE Outlet, Convex Light, Opaque Cut-to-fit " Cut-to-fit " Cut-to-fit Cut-to-fit " " Assura 1-Piece Closed Pouch, Transparent SenSura 1-Piece Closed Pouch, Cut-to-fit " Opaque Cut-to-fit " Pre-cut " Cut-to-fit " Curagard 1-Piece Drainable Pouch, Opaque, w/o Filter SenSura 1-Piece Drainable Pouch, Cut-to-fit " EasiClose WIDE Outlet, Transparent, w/o Filter Cut-to-fit " 5825 Pre-cut 1" Cut-to-fit 3 8-3" Pre-cut " Cut-to-fit 3 8-3" Pre-cut 1 3 8" Cut-to-fit 3 8-3" 20 Discontinued Products Coloplast 179

101 Discontinued Products Discontinued Products Conversion sheet: Ostomy 1-Piece Pouching Systems Convert from Code Size Units Convert to Code Size Units Cut-to-fit 3 8-3" 20 Curagard 1-Piece Drainable Pouch, Transparent, w/o Filter Curagard / SecureLife 1-Piece Drainable Pouch, Transparent, w/o filter SenSura 1-Piece Drainable Pouch, Cut-to-fit " EasiClose WIDE Outlet, Transparent, w/o Filter SenSura 1-Piece Drainable Pouch, Cut-to-fit " EasiClose WIDE Outlet, Transparent, w/o Filter Cut-to-fit 3 8-3" Cut-to-fit " Cut-to-fit 3 8-3" 20 Curagard / SecureLife 1-Piece Drainable Pouch, Opaque, w/o filter 5920 Pre-cut 13 16" Cut-to-fit 3 8-3" Pre-cut 1" Cut-to-fit 3 8-3" Pre-cut " Cut-to-fit 3 8-3" Pre-cut 1 3 8" Cut-to-fit 3 8-3" Pre-cut " Cut-to-fit 3 8-3" Pre-cut 1 3 4" Cut-to-fit 3 8-3" Pre-cut 2" Cut-to-fit 3 8-3" Pre-cut 2 3 8" Cut-to-fit 3 8-3" SenSura 1-Piece Drainable Pouch, Cut-to-fit " EasiClose WIDE Outlet, Transparent, w/o Filter Cut-to-fit 3 8-3" 20 Conversion sheet: Ostomy 1-Piece Pouching Systems Convert from Code Size Units Convert to Code Size Units Coloplast 1-Piece Closed Pouch, Cutto-fit, Transparent Coloplast 1-Piece Closed Pouch, Cutto-fit, Opaque Coloplast 1-Piece Stoma Cap, Opaque, Pre-cut 6325 Pre-cut 1" Cut-to-fit 3 8-3" Pre-cut " Cut-to-fit 3 8-3" Pre-cut 1 3 8" Cut-to-fit 3 8-3" Pre-cut " Cut-to-fit 3 8-3" Pre-cut 1 3 4" Cut-to-fit 3 8-3" Pre-cut 2" Cut-to-fit 3 8-3" Pre-cut 2 3 8" Cut-to-fit 3 8-3" SenSura 1-Piece Closed Pouch, Cut-to-fit " Cut-to-fit, Opaque 5700 Cut-to-fit 30 SenSura 1-Piece Closed Pouch, " Cut-to-fit, Opaque 5540 Pre-cut " 30 Assura 1-Piece Stoma Cap, Opaque, Cut-to-fit Cut-to-fit 3 8-3" Cut-to-fit 3 8-3" Cut-to-fit " 5560 Pre-cut 2 3 8" Cut-to-fit " Coloplast 181

102 Discontinued Products Discontinued Products Conversion sheet: Ostomy 2-Piece Pouching Systems Convert from Code Size Units Convert to Code Size Units Red 20 Assura 2-Piece Drainable Pouch, EasiClose WIDE Outlet, Transparent, w/o Filter Assura 2-Piece Drainable Pouch, EasiClose Closure, Opaque Assura 2-Piece Drainable Pouch with Clamp Closure, Transparent, w/o Filter Assura 2-Piece Standard Wear Barrier, Flat, Pre-Cut Red 10 SenSura Click 2-Piece Drainable Pouch with EasiClose WIDE Outlet, Transparent, w/o Filter (Use with SenSura Click Barrier) Blue Blue Blue 10 SenSura Click 2-Piece Drainable Blue 20 Pouch with EasiClose WIDE Outlet, Opaque, w/ Filter (Use with SenSura Click Barrier) Green Green 10 SenSura Click 2-Piece Drainable Pouch with EasiClose WIDE Outlet, Transparent (Use with SenSura Click Barrier) Red Red Blue Blue " 5 SenSura Click 2-Piece Standard Wear Barrier, Flat (Use with SenSura Click Pouch) " 5 Conversion sheet: Ostomy 2-Piece Pouching Systems Convert from Code Size Units Convert to Code Size Units Red 20 Assura AC 2-Piece Drainable Pouch, EasiClose Closure, Opaque Red (Custom Peel) 20 SenSura Flex 2-Piece Drainable Pouch, EasiClose WIDE Outlet, Opaque (Use with SenSura Click Barrier) Assura AC 2-Piece Closed Pouch Red 30 SenSura Flex 2-Piece Closed Pouch (Use with SenSura Flex Barrier) Coloplast 2-Piece Drainable Pouch, Transparent, w/o filter Coloplast 2-Piece Drainable Pouch, Opaque, w/o filter Red Yellow Yellow Red (Custom Peel) Red Green 10 SenSura Click 2-Piece Drainable Green 20 Pouch, EasiClose WIDE Outlet, Transparent (Use with SenSura Click Barrier) 6551 Red Red Blue Blue Green 10 SenSura Click 2-Piece Drainable Pouch, EasiClose WIDE Outlet, Opaque (Use with SenSura Click Barrier) Green Red Red Coloplast 183

103 Discontinued Products Discontinued Products Conversion sheet: Ostomy 2-Piece Pouching Systems Convert from Code Size Units Convert to Code Size Units 6562 Blue Blue Green 30 Coloplast 2-Piece Closed Pouch, Transparent Coloplast 2-Piece Closed Pouch, Opaque Coloplast 2-Piece Stoma Cap, Transparent Coloplast 2-Piece Urostomy Pouch, Transparent, Midi 6641 Green 30 SenSura Click 2-Piece Closed Pouch, Opaque (Use with SenSura Click Barrier) 6651 Red Red Blue Blue Green 30 SenSura Click 2-Piece Closed Pouch, Opaque (Use with SenSura Click Barrier) Green Red Red Blue Blue Green 30 Assura 2-Piece Stoma Cap, Opaque (Use with Assura Barrier) 2801 Green Red Red Blue Blue Green 10 SenSura Click Uro, 2-Piece Urostomy Pouch, Transparent (Use with SenSura Click Barrier) Green 10 Conversion sheet: Ostomy 2-Piece Pouching Systems Convert from Code Size Units Convert to Code Size Units Green 10 Coloplast 2-Piece Urostomy Pouch, Transparent, Maxi Coloplast 2-Piece Standard Wear Barrier with Tape Border, Flat 4240 Green 10 SenSura Click Uro, 2-Piece Urostomy Pouch, Transparent, Maxi (Use with SenSura Click Barrier) 4250 Red Red Blue Blue SenSura Click 2-Piece Standard Wear Cut-to-fit " Barrier, Flat (Use with SenSura Click Pouch) Cut-to-fit " Cut-to-fit 5 8-2" Cut-to-fit " Cut-to-fit " Cut-to-fit " Coloplast 185

104 Discontinued Products Discontinued Products Conversion sheet: Ostomy Post-Op / Fistula Wound Management Convert from Code Size Units Convert to Code Size Units Coloplast 1-Piece Post-Op Pouch 6100 Cut-to-fit SenSura Post-Op, 1-Piece Drainable Cut-to-fit 3 8-3" " Pouch, w/o Access Window 6101 Cut-to-fit " Cut-to-fit 3 8-3" 6 Coloplast 2-Piece Post-Op Pouch, Transparent, No Filter SenSura Flex 2-Piece Drainable Pouch Cut-to-fit " with EasiClose WIDE Outlet, Transparent (Use with SenSura Flex Barrier) Yellow Cut-to-fit Gray " Coloplast / SecureLife 2-Piece Post- Op Barrier w/ Tape Border, Cut-to-fit SenSura Flex 2-Piece Standard Wear Cut-to-fit " Barrier (Use with SenSura Flex Pouch) Cut-to-fit " Cut-to-fit " Cut-to-fit " 5 Conversion sheet: Accessories Convert from Code Size Units Convert to Code Size Units Adjustable Ostomy Belt (compatible with /3" 1 Brava Belt /3" 15 MC/PC Coloplast-brand products) Adjustable Ostomy Belt (compatible with Assura and SenSura products) /3" 10 Brava Belt /3" O.A.D. Liquid Ostomy Appliance Deodorant fl. oz. (237 ml) 12 Brava Lubricating Deodorant fl. oz. (237 ml) fl. oz. 12 Brava Lubricating Deodorant fl. oz. 16 (118 ml) (237 ml) fl. oz. 24 Brava Lubricating Deodorant fl. oz. 20 (59 ml) (7.5 ml) sachet Ostomy Powder oz. (25 g) 16 Brava Powder oz. (25 g) 16 Ostomy Strip Paste oz. package (.2 oz / strip) 80 strips Brava Strip Paste oz. package (.2 oz / strip) Protective Sheet x 4" 10 Brava Protective Sheet x 4" 10 (10 x 10 cm) (10 x 10 cm) x 6" 5 Brava Protective Sheet x 6" 5 (15 x 15 cm) (15 x 15 cm) x 8" 5 Brava Protective Sheet x 8" 5 (20 x 20 cm) (20 x 20 cm) Skin Barrier Cream oz (60 ml) 6 Sween Cream oz. (85 g) strips Coloplast 187

105 Discontinued Products Conversion sheet: Accessories Convert from Code Size Units Convert to Code Size Units Adhesive Remover Spray oz (50 ml) 6 Brava Adhesive Remover Spray oz (50 ml) 1 Adhesive Remover Wipes wipe 30 Brava Adhesive Remover Wipes wipe 30 Skin Barrier Spray oz (50 ml) 6 Brava Skin Barrier Spray oz (50 ml) 1 Skin Barrier Wipes wipe 30 Brava Skin Barrier Wipes wipe 30 Moldable Ring mm thick 30 Brava Moldable Rings mm thick 10 Moldable Ring mm thick 30 Brava Moldable Rings mm thick 10 Protective Paste with Pectin oz 12 Brava Paste oz

106 Product Guide Reference tools Effective September 2014 Reference Tools

107 Reference Tools Coloplast Consumer Care assists patients with their intimate healthcare needs. They are available Monday through Friday from 7 a.m. to 7 p.m. (CST). Coloplast Care Program A nurse-driven program providing support to patients throughout the care continuum. The program provides patients with product samples, educational resources, and consumer care support. Please visit coloplastcare.com or contact your local Consumer Care Advisor for further information: DVDs Intermittent Self-Catheterization Intermittent Self-Catheterization, Adult Female, English/Spanish Intermittent Self-Catheterization, Adult Male, English/Spanish Intermittent Self-Catheterization, Pediatric Female, English Intermittent Self-Catheterization, Pediatric Male, English Intermittent Self-Catheterization, Pediatric Female, Spanish Intermittent Self-Catheterization, Pediatric Male, Spanish SpeediCath Instructional DVD, Animated, English/Spanish Measuring Guides Conveen Optima Male External Catheter Selection and Fitting Guide Freedom Male External Catheter Selection and Fitting Guide Continence Care Education About the Team The Coloplast Consumer Care Team can make life easier for both clinicians and their patients. The team offers oneon-one assistance, as well as: Provide Product Samples Consumer Care Advisors are trained support staff, offering free samples from the complete Coloplast ostomy and continence product lines. Call the toll free hotline at or [email protected] to have trial products shipped today. Answer Questions Our team can answer questions regarding product lines and educational materials, as well as insurance and reimbursement issues. Coloplast Consumer Care will provide the information you and your patients need. Find The Right Product Solution Coloplast Consumer Care can help locate a medical supplies dealer in their local area to ensure that they have access to the correct products Coloplast 191

108 Ostomy Care Education Coloplast Care Program A nurse-driven program providing support to patients throughout the care continuum. The program provides patients with product samples, educational resources, and consumer care support. Please visit coloplastcare.com or contact your local Consumer Care Advisor for further information: On-Site Education Product in-services on appropriate use of Coloplast products Customized clinical education programs conducted by certified wound, ostomy, continence (WOC) nurses Ostomy Tools Evidence-based nursing tools provide a standardized language to assess peristomal skin conditions and quality of life Stoma QoL (Quality of Life) Questionnaire Ostomy Skin Tool DET score Nurse Educational Video & DVD Instructional DVD: 1-piece, 2-piece, Urostomy Application & Removal Fistula and Wound Management System Instructional DVD Educational Guides Life After: Ileostomy Life After: Colostomy Life After: Urostomy Life After: Your Child s Ostomy Surgery When I Met Tipster: A coloring book for children with ostomies Ostomy Educational Table/Pocket Guide a diagram for staff nurses covering types of ostomies, pouching selection, and peristomal and parastomal challenges. Wellness Education Colostomy: Self-Care and Dietary Guidelines Urosotomy: Self-Care and Dietary Guidelines Ileostomy: Self-Care and Dietary Guidelines Ostomy Pouching Systems BodyCheck Tool What to Wear Socializing Keeping Your Skin Healthy Intimacy Ostomy Accessory Products Getting into Exercise Tips for Dining Out Tips for Traveling Reach Out and Get Connected General Medicare Guidelines Related to Ostomy Pregnancy with an Ostomy My Child has an Ostomy Pediatric FAQ Patient Educational Video & DVD In Control: Life After Your Ostomy Surgery Product Instructions for Use (Pictorial) SenSura Mio 1-piece Pouching System SenSura Mio Click 2-piece Pouching System SenSura Mio Flex 2-piece Pouching System SenSura 1-piece Pouching System SenSura Click 2-piece Pouching System SenSura Flex 2-piece Pouching System Fistula Wound Management System Assura 1-piece Pouching System Assura 2-piece Pouching System Assura AC (Adhesive Coupling) Spanish Educational Tools Educational Guides La Vida Después de la Colostomía Life After: Colostomy La Vida Después de la Ileostomía Life After: Ileostomy La Vida Después de la Urostomía Life After: Urostomy Educational Sheets Cómo Cuidar Su Nueva Ostomía Caring for your New Ostomy Directriz Alimenticio de Colostomía Colostomy Dietary Guidelines Directriz Alimenticio de lleostomía Ileostomy Dietary Guidelines Directriz Alimenticio de Urostomía Urostomy Dietary Guidelines Patient Educational Video & DVD En Control: La Vida Después de su Cirugía de Ostomía In Control: Life After Your Ostomy Surgery Video & DVD Other Resources CE-Accredited Education Modules For additional educational resources, visit Ostomy Care Education Coloplast 193

109 Coloplast offers education programs to help support your wound and skin care protocol and educate your staff on best practices in care. Links Partnership Program: Wound Care Inconsistent wound care management can lead to costly complications. The Coloplast Links Wound Care Partnership is designed to assist with appropriate dressing selection to reduce wound complications and associated costs. Every Nurse is a Skin Care Nurse Every Nurse is a Skin Care Nurse is a 20 page booklet discussing the importance of skin care and managing risk for skin breakdown with patients. The booklet provides guidance on preventative skin care measures and care for common types of skin conditions. At the end of the booklet, a quiz is offered to test your knowledge of the information. Clinical Implememtation Tools CD The Clinical Implementation Tools CD includes assessment, intervention, and documentation tools to help your facility successfully implement a structured skin care regimen. Links Partnership Program: Skin Care The Coloplast Links Skin Care Partnership is a comprehensive clinical practice quality initiative designed to improve compliance, provide highquality care, and reduce supply chain costs. Skin Care Partnership Sales Training and Implementation M1226N On-Site Education Product in-services on appropriate use of Coloplast products Customized clinical educational programs for contact hours conducted by certified wound, ostomy, continence nurses (WOCN) Moisture-Associated Skin Damage (MASD) Education Series An expert panel of clinicians in the areas MASD discuss risk factors, diagnosis and treatment of the four common types of MASD. This education portal offers information in the form of general information on MASD, downloadable articles, videos and product selection by condition. Wound & Skin Care Education Wound & Skin Care Education Coloplast Academy Customized Implementation Materials Wound Care product guide posters Skin Care product guide posters NPUAP revised staging guidelines Nurse badges Rinse No-Rinse Moisturize Barrier Barrier/ Antifungal Antifungal Chronic Wound Assessment Parameters Hand Hygiene Textile Skin Care Cascade All Patients Moisturize Bathe Intact, clear skin Moderate to severely dry skin (including xerosis and fissures) Incontinence Associated Dermatitis Fungal Denuded or moist skin Exudate Level Neonate Category/ Stage I Low Category/ Stage II Category/ Stage III Category/ Stage IV 1. Location a. Below the knee (usually arterial, venous, diabetic or pressure ulcer) b. Bony prominences (usually pressure related) c. Moist areas (usually due to moisture-associated skin damage, incontinence-associated dermatitis or symptoms associated with intertrigo1). 3. Dimensions (length x width x depth in cm) 2. Extent of tissue injury (assess after wound debridement) a. Stage/Category: A pressure ulcer is localized to the skin and/or Foot Ulcers Skintissue Tears Donor Sites over a bony prominence, as a result of underlying usually pressure, or pressure in combination with shear and/or friction. 4. Wound base characteristics (color, texture, tissue type, percent of each tissue type) Size Depth Leg Ulcers Moderate 1 References on file at Coloplast Corp. Mild ingredients and added emollients for use on fragile, sensitive skin Dermatologist tested, hypoallergenic and dye-free ph-balanced Photos of wound stages from the NPUAP Slide Set #1 courtesy of National Pressure Ulcer Advisory Panel. The use of these photos does not indicate endorsement of these products or product technologiesdeep by the NPUAP. Suspected Tissue Intact Skin Exudate Level Risk Factors Dry Skin Immobility Incontinence Bedside-Care Foam* Cleansers All-in-one, deodorizing body wash, shampoo and incontinent cleanser Foam delivery system Dye and alcohol-free ph-balanced Protect Skin Cleanse Bedside-Care* Soothing and deodorizing Dye and alcohol-free ph-balanced STAGES AND DEFINITIONS High Gentle Rain Extra Mild Cleanser Cleansers/Hydrogels The Amazing Race Education Series The Amazing Race is an effort to prevent pressure ulcers by presenting seven challenges that integrate the Braden Scale. At the end of each challenge, a post quiz is offered to test your knowledge of the information. * CHG Compatible Sea-Clens Wound Cleanser Woun Dres Collagen Hydrogel Comfeel Plus Clear Dressing (Thin) Intact Skin Comfeel Plus Ulcer Dressing Once-a-day application Contains 6% dimethicone Fragrance, petrolatum, lanolin and alcohol-free Infection y Antifungal Skin Breakdown Moisturizers Alginate Dressings Intact Skin Critic-Aid Skin Paste* Skin Protectants Petrolatum and zinc-oxide based moisture barrier Minimal ingredients Adheres to intact and denuded skin Easy to apply and remove Cleansers Size 5 ml single application packet 2 fl. oz./59 ml 8 fl. oz./237 ml 21 fl. oz./621 ml 34 fl. oz./1000 ml 1 gal./3.8 L Antifungals fl. oz./118 ml 8 fl. oz./237 ml 1 gal./3.8 L Bedside-Care Perineal Wash fl. oz./118 ml 8 fl. oz./237 ml 1 gal./3.8 L 7055 Micro-Guard Powder 2% miconazole nitrate Treats superficial fungal infections Helps reduce friction and shearing 30 sheets/pk Skin Fold Management 30 pks/cs Moisturizers Sween 24 Cream Product Code InterDry Ag Textile Bedside-Care EasiCleanse Bath Size 4 g single application packet 2 oz./57 g 5 oz./142 g 9 oz./255 g Units Product Code Size 2 g single application packet 0.5 oz./14 g 3 oz./85 g jar 3 oz./85 g 6.5 oz./184 g 12 oz./339 g jar Baza Protect Units Sween Lotion ml single application packet 2 fl. oz./59 ml 4 fl. oz./118 ml 8 fl. oz./237 ml 21 fl. oz./621 ml 34 fl. oz./1000 ml 1 gal./3.8 L Atrac-Tain Cream g single application packet 2 oz./57 g 5 oz./142 g Product Code Size g single application packet oz./57 g oz./142 g Product Code Size 4 g single application packet 2.5 oz./71 g 6 oz./170 g 2.5 oz./71 g 6 oz./170 g Units oz./85 g Skin Fold Management InterDry Ag Textile Product Code Size x x 36 Units 10 /case 10 pks/box Baza Clear g single application packet 1.75 oz./50 g 5 oz./142 g 8 oz./227 g jar Biatain Adhesive Foam Dressing Biatain Heel Foam Dressing * * * * brown or*black) in the wound bed. * * * * Category/Stage II: Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough. May also present as an intact or open/ruptured serum filled blister. Category/Stage III: Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling. * Category/Unstageable: Full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, tan, gray, green or brown) and/or eschar (tan, b. Partial-thickness vs. full-thickness: Used to describe the extent of injury for all wounds except pressure ulcers. Partial-thickness: Does not penetrate below the dermis. May involve the epidermis. Full-thickness: Tissue loss extends below the dermis into the subcutaneous tissue and fascia, possibly exposing bone. * Contreet/Biatain Ag Non-Adhesive Foam Dressing Contreet/Biatain Ag Adhesive Foam Dressing Contreet/Biatain Ag Heel Foam Dressing * * Product * * * Sea-Clens * Wound Cleanser * * * * Contreet/Biatain Ag Sacral Foam Dressing SeaSorb Soft Ag Alginate Dressing with Silver SeaSorb Soft Ag Alginate Filler with Silver 1 Sinus Tract/Tunneling Erythema Fitzpatrick s Dermatology in General Medicine. Fifth Edition Volume II, Photos used with permission. Copyright 2000 AAWC & 2008 SER WOCN. Comfeel Ulcer Care * Size 6 fl. oz./178 ml 12 fl. oz./355 ml Units oz./8 g.5 oz./15 g.88 oz./25 g 1 oz./28 g tube 3 oz./84 g tube HCPCS A6260 A6260 A6248 A6248 A6248 A6248 A6248 Hydrocolloid Dressings Size 2 x 23 4" (5 x 7 cm) 4 x 4" (10 x 10 cm) 31 2 x 51 2" (9 x 14 cm) 6 x 6" (15 x 15 cm) 6 x 8" (15 x 20 cm) 8 x 8" (20 x 20 cm) x 21 2" (4 x 6 cm) 4 x 4" (10 x 10 cm) 6 x 6" (15 x 15 cm) 8 x 8" (20 x 20 cm) 24 sq. in. (6 x 8 cm) 42 sq. in. (9 x 11 cm) HCPCS A6234 A6234 A6235 A6235 A6235 A A6234 A6234 A6235 A A6235 A6235 Comfeel Plus Pressure Relief Dressing Comfeel Plus Triangle Dressing x 8" (18 x 20 cm) 5 A " Butterfly (7 cm) 4" Round (10 cm) 6" Round (15 cm) A6237 A6237 A6238 Size 11 2 x 21 2" (4 x 6 cm) 4 x 4" (10 x 10 cm) 6 x 6" (15 x 15 cm) 8 x 8" (20 x 20 cm) Biatain Heel Foam Dressing Units HCPCS A6234 A6234 A6235 A6236 Units HCPCS A6240 A6240 Product Code Units HCPCS A6196 A6196 A6197 Product Code Size 2.5 oz./71 g 6 oz./170 g Size 2 x 2" (5 x 5 cm) 4 x 4" (10 x 10 cm) 6 x 6" (15 x 15 cm) 1 x 171 2" rope (44 cm) Contreet/Biatain Ag Adhesive Foam Dressing x 4" (10 x 10 cm) 5 x 5" (121 2 x cm) 7 x 7" (18 x 18 cm) Size 71 2" x 8" (19 x 20 cm) 9 x 9" (23 x 23 cm) Units 5 HCPCS A Size 4 x 4" (10 x 10 cm) 6 x 6" (15 x 15 cm) A6213 Units x 4" (10 x 10 cm) 6 x 6" (15 x 15 cm) HCPCS A6234 A x 5" (121 2 x cm) 7 x 7" (18 x 18 cm) A6209 A A6212 A x 9" (23 x 23 cm) A A6213 Contreet/Biatain Ag Foam Cavity Filler HCPCS A6209 A6210 A6210 A6211 A6209 A x 3" (5 x 8 cm) 5 A6209 SeaSorb Soft Ag Alginate Dressings with Silver x 2" (5 x 5 cm) 4 x 4" (10 x 10 cm) 6 x 6" (15 x 15 cm) A6196 A6196 A6197 SeaSorb Soft Ag Alginate Filler with Silver x 73 4" (19 x 20 cm) Contreet/Biatain Ag Sacral Foam Dressing 9641 Units Biatain Adhesive Foam Dressing Contreet/Biatain Ag Heel Foam Dressing A6199 Foam Dressings Size 4 x 4" (10 x 10 cm) 4 x 8" (10 x 20 cm) 6 x 6" (15 x 15 cm) 8 x 8" (20 x 20 cm) 2" (5 cm) round 3" (8 cm) round 3485 Contreet/Biatain Ag Non-Adhesive Foam Dressing 6 Biatain Non-Adhesive Foam Dressing Product Code Product Code 3488 Contreet /Comfeel Ag Hydrocolloid Dressing SeaSorb Soft Alginate Filler 3740 Biatain Sacral Foam Dressing Dressings with Antimicrobial Silver Hydrophilic Paste Triad Hydrophillic Wound Dressing Product Code SeaSorb Soft Alginate Dressings Units Comfeel Plus Ulcer Dressing * 3115* 3120 Product Code Alginate Dressings Comfeel Plus Clear Dressing (Thin) Product Code Comfeel Plus Contour Dressing Infection Undermining Ordering Information Purilon Gel Critical Colonization/Local Infection Wound Cleansers/Hydrogels Attached 9. Additional wound assessment parameters (odor, wound pain, procedures performed) Full-thickness Product Code Contreet/Biatain Ag Foam Cavity Filler Contaminated/Colonization 8. Periwound (maceration, discoloration, rashes) Maceration Yellow Purlent Drainage Partial-thickness Black Eschar Slough Yellow Pink Cloudy Serous 6. Bioburden (bacteria level in the wound) 7. Wound edges For more information contact NPUAP 2007 or npuap.org NPUAP 2007 * Granular Red 5. Exudate (type, color, amount, odor) Category/Stage IV: Full thickness tissue loss with exposed bone, tendon or muscle. Slough or eschar may be present on some parts of the wound bed. Often include undermining and tunneling. Wound Dres Collagen Hydrogel Contreet /Comfeel Hydrocolloid Dressing 4 g single application packet 2 oz./57 g 5 oz./142 g Category/Stage I: Intact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have visible blanching; its color may differ from the surrounding area. SeaSorb Soft Alginate Dressing Biatain Sacral Foam Dressing Units Baza Antifungal 1 x 171 2" rope (44 cm) 10 A6199 A6212 A6212 A6213 * For deep cavity wounds; use in conjunction with a filler. Wound Care Skin Care Coloplast develops products and services that make life easier for people with very personal and private medical conditions. Working closely with the people who use our products, we create solutions that are sensitive to their special needs. We call this intimate healthcare. Our business includes ostomy care, urology and continence care and wound and skin care. We operate globally and employ more than 7,000 people. The Coloplast logo is a registered trademark of Coloplast A/S All rights reserved Coloplast Corp., Minneapolis, MN USA Skin Is In Education Program The Skin Is In Education Program is a series of six video modules (6 8 minutes in length) which discuss current prevention and treatment guidelines for skin care. SeaSorb Soft Alginate Filler Critic-Aid Clear Antifungal Critic-Aid Skin Paste 12 4 g single application packet 8 fl. oz./237 ml 8 fl. oz./237 ml (Odor control) 3 cloth wipes/package Antifungals Product Code Size g single application packet oz./57 g oz./142 g Micro-Guard Power Units Baza Cleanse & Protect Lotion and Cloth Skin Protectants Critic-Aid Clear Dressings with Antimicrobial Silver 4 fl. oz./118 ml 4 fl. oz./118 ml (Unscented) 8 fl. oz./237 ml 8 fl. oz./237 ml (Unscented) Bedside-Care Baza Antifungal Cream* 2% miconazole nitrate Contains skin conditioners Triad Hydrophilic Wound Dressing Biatain Non-Adhesive Foam Dressing Sween Cream Units Bedside-Care Foam Critic-Aid Clear Antifungal Ointment* Clear moisture barrier with 2% miconazole nitrate Minimal ingredients Adheres to intact and denuded skin Easy to apply and remove First effective solution for managing moisture and reducing friction in skin-to-skin contact areas Helps manage erythema, maceration, denudement, pain, itching, burning, and satellite lesions associated with skin folds Wicks and translocates moisture Silver within the textile provides effective antimicrobial action for up to 5 days Gentle Rain Extra Mild Baza Cleanse & Protect Lotion and Cloth* One step provides mild cleansing, a breathable barrier and moisturization ph-balanced Available as a spray or cloth Available with odor control Product Code 7231 Baza Protect Cream* Zinc oxide and dimethicone-based moisture barrier Contains skin conditioners Product Ordering Information Foam Dressings Comfeel Plus Pressure Relief Dressing Comfeel Ulcer Care Wound Care Skin Repair Critic-Aid Clear Ointment* Clear moisture barrier Minimal ingredients Adheres to intact and denuded skin Easy to apply and remove Comfeel Plus Contour Dressing Wounds Wound Cleanse Atrac-Tain Cream* 10% urea and 4% AHA Exfoliates and softens severely dry, cracked, calloused skin Fragrance, dye and preservative-free Clinically proven to help prevent skin dryness which can lead to an increased risk of foot ulcers1 Comfeel Plus Triangle Dressing Skin Fold Sween Lotion* Paste Sween Cream * Natural vitamin E Non-occlusive formula Hydrocolloid Dressings Risk Factors Bedside-Care EasiCleanse Bath* Non-irritating, non-sensitizing Preservative, dye, alcohol and latex-free ph-balanced Sween 24 Cream* Natural vitamins A & D Non-occlusive formula Will not interfere with tape adhesion Bedside-Care Perineal Wash* Soothing and deodorizing Dye, fragrance and alcohol-free ph-balanced Purilon Gel Injury: Purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or cooler as compared to adjacent tissue. Coloplast Corp. Minneapolis, MN M0405N Coloplast develops products and services that make life easier for people with very personal and private medical conditions. Working closely with the people who use our products, we create solutions that are sensitive to their special needs. We call this intimate healthcare. Our business includes ostomy care, urology and continence care and wound and skin care. We operate globally and employ more than 7,000 people. The Coloplast logo is a registered trademark of Coloplast A/S All rights reserved Coloplast Corp., Minneapolis, MN USA Coloplast Corp. Minneapolis, MN M0510N To learn more about the education programs offered by Coloplast, contact Customer Service at to find a Territory Manager in your area. Skin Fold Management Program The Skin Fold Management Program is a 30-minute program that focuses on moisture and how it affects skin fold management. The program highlights InterDry Textile and how it can help effectively manage skin fold complications Coloplast 195

110 Continence Care Cross Reference Continence Care Cross Reference Brand Competitive Product Line Coloplast Product Page Number Astra Tech LoFric Plus SpeediCath 7, 10, 12 Astra Tech LoFric Primo SpeediCath 7, 10, 12 Astra Tech LoFric Hydro-Kit II SureCath Set 13 Astra Tech LoFric SpeediCath 7, 10, 12 Bard Bardex All-Silicone Foley Catheters Folysil 100% Silicone Catheters Bard Drainage Bags Security+ Drainage Bag 20 Bard Touchless IC Self-Cath Closed System Bard Clean-Cath Self-Cath 8-9 Bard Util-Cath Self-Cath 8-9 Bard InterGlide Vinyl Catheter w/ Hydrogel Coating SpeediCath 7, 10, 12 Covidien / Kendall Dover 100% Silicone Foleys Folysil 100% Silicone Catheters Covidien / Kendall Drainage Bags Security+ Drainage Bag 20 Covidien / Kendall Uri-Drain Male External Catheter w/ 2-sided Adhesive Conveen Optima MEC 16 Note: or indicate trademarks of Astra Tech, Bard, or Coviden/Kendall. Brand Competitive Product Line Coloplast Product Page Number Covidien / Kendall Uri-Drain Male External Catheter w/ Foam Strap Gizmo MEC 18 Covidien / Kendall Uri-Drain Reusable / Deluxe Leg Bags Security+ Contoured Leg Bag 20 Covidien / Kendall Curity Urine Leg Bag Freedom Twist Leg Bag 22 Covidien / Kendall Dover Leg Bags Freedom Twist Leg Bag 22 Covidien / Kendall Dover ROB-NEL Urethral Catheter Self-Cath 8-9 Covidien / Kendall Robinson Vinyl Urethral Catheter Self-Cath 8-9 Cure Twist Straight Caths Self-Cath 8-9 Cure Twist Straight Hydrophilic Caths SpeediCath 7, 10, 12 Cure Twist Sterile Closed Systems Self-Cath Closed System Hollister Apogee IC Self-Cath 8-9 Hollister Apogee Closed System Self-Cath Closed System Hollister Advance Plus IC Self-Cath Closed System Hollister Advance Hydro Soft Hydrophilic Cath SpeediCath 7, 10, 12 Hollister InView MEC Special Conveen Optima Sport Length MEC 16 Hollister InView MEC Standard Conveen Optima MEC 16 Note: or indicate trademarks of Coviden/Kendall, Cure, or Hollister Coloplast 197

111 Brand Competitive Product Line Coloplast Product Page Number Rochester UltraFlex Silicone MEC Conveen Optima MEC 16 Rochester WIDE Band Silicone MEC Freedom Clear LS MEC Rochester Pop-On Silicone MEC Conveen Optima Sport Length MEC 16 Rochester The Natural Silicone MEC Freedom Clear MEC Rochester Urinary Leg Bag Security+ Leg Bag 20 Rusch Condom Catheter Gizmo MEC 18 Rusch Deluxe Golden Drain MEC w/ Single-Sided Tape Gizmo MEC 18 Rusch Golden Drain Sure Seal MEC w/ Double-Sided Strap Gizmo MEC 18 Rusch External Catheter, Latex Self-Adhesive Freedom Cath MEC Rusch 100% Silicone Foley Folysil 100% Silicone Catheters Rusch Pocket Pac i.c. Self-Cath Closed System Rusch Easy Cath Self-Cath 8-9 Rusch FloCath Hydrophilic IC SpeediCath 7, 10, 12 Rusch Red Rubber Catheters Self-Cath Soft 9 Rusch PVC Catheters Self-Cath 8-9 Continence Care Cross Reference Continence Care Cross Reference Brand Competitive Product Line Coloplast Product Page Number Hollister InView MEC Extra Freedom Clear LS MEC Hollister Extended Wear MEC Freedom Clear MEC Hollister Everyday MEC Freedom Cath MEC Hollister Not Made With Natural Rubber Latex Urinary Leg Bags Freedom Fas-Tap Leg Bags Hollister Advance Plus IC Self-Cath Closed System Rochester Strata SI Silicone Foleys Folysil 100% Silicone Catheters Rochester All-Silicone Foley Folysil 100% Silicone Catheters Rochester Magic 3 All-Silicone Catheter Self-Cath 8-9 Rochester Magic 3 Hydrophilic Catheter SpeediCath 7, 10, 12 Rochester Magic 3 Hydrophilic Closed System SureCath Set 13 Rochester Personal Catheter Self-Cath 8-9 Rochester Hydrophilic Personal Catheter SpeediCath 7, 10, 12 Rochester Hydrophilic Personal Catheter Closed System SureCath Set 13 Note: or indicate trademarks of Hollister or Rochester. Note: or indicate trademarks of Rochester or Rusch Coloplast 199

112 Continence Care Cross Reference Brand Competitive Product Line Coloplast Product Page Number Rusch MMG Catheter Self-Cath Closed System Rusch FloCath Quick Catheter Kit SureCath Set 13 Rusch MMG H2o Hydrophilic Closed System SureCath Set 13 Rusch Drainable Bag Moveen Drain Bag 21 Rusch Easy-Tap Leg Bag Security+ Leg Bag 20 Rusch Button Bags Security+ Leg Bag 20 Urocare Reusable Latex Leg Bag Alpine Reusable Leg Bag 23 Urocare Vinyl Leg Bag with Thumb Clamp Security+ Leg Bag 20 Urocare Vinyl Leg Bag with Twist Drain Security+ Leg Bag 20 Urocare Uro-Con Texas-Style MEC with Urofoam-1 Gizmo MEC 18 Urocare Uro-Con Texas-Style MEC with Urofoam-2 Gizmo MEC 18 Urocare Uro-Cath Latex MEC with Urofoam-1 Gizmo MEC 18 Urocare Uro-Cath Latex MEC with Urofoam-2 Gizmo MEC 18 Note: or indicate trademarks of Rusch or Urocare. Brand Competitive Product Line Coloplast Product Page # ConvaTec ActiveLife 1-pc Drainable Pouch SenSura 1-pc Drainable Pouch ConvaTec Esteem 1-pc Drainable Pouch w/ InvisiClose SenSura 1-pc Drainable Pouch ConvaTec ActiveLife 1-pc Urostomy Pouch SenSura Uro 1-pc Urostomy Pouch 124 ConvaTec ActiveLife 1-pc Convex Urostomy Pouch SenSura Uro 1-pc Convex Light Urostomy Pouch or Assura 1-pc Convex Urostomy pouch 125 ConvaTec ActiveLife 1-pc Closed-End Pouch SenSura Mio 1-pc Closed Pouch ConvaTec SUR-FIT Natura Moldable Skin Barrier SenSura Click 2-pc Barrier 83 ConvaTec SUR-FIT Natura 2-pc Durahesive w/ CONVEX-IT SenSura Click Xpro 2-pc Convex Light Barrier 85 ConvaTec SUR-FIT 2-pc Durahesive Skin Barrier SenSura Click Xpro 2-pc Barrier 84 ConvaTec SUR-FIT 2-pc Stomahesive Skin Barrier SenSura Click 2-pc Barrier 83 ConvaTec SUR-FIT AutoLock 2-pc Stomahesive Barrier SenSura Click 2-pc Barrier 83 ConvaTec SUR-FIT AutoLock 2-pc Durahesive Barrier SenSura Click Xpro 2-pc Barrier 84 ConvaTec Esteem synergy AC Stomahesive Barrier SenSura Flex 2-pc Barrier 107 ConvaTec Esteem synergy AC Convex Moldable Durahesive Barrier SenSura Flex Xpro 2-pc Convex Light Barrier 108 ConvaTec Esteem synergy AC Closed-End Pouch SenSura Flex 2-pc Closed Pouch 110 ConvaTec Esteem synergy AC Drainable Pouch SenSura Flex EasiClose WIDE Drainable Pouch 109 Note: or indicate trademarks of ConvaTec. Ostomy Care Cross Reference Coloplast 201

113 Brand Competitive Product Line Coloplast Product Page # ConvaTec Little Ones 2-pc AC Drainable Pouch w/ InvisiClose Assura AC 2-pc Pediatric EasiClose Pouch Hollister New Image FlexWear Flat Barrier with Floating Flange SenSura Click 2-pc Flat Barrier 83 Hollister New Image Flextend Flat Barrier with Floating Flange SenSura Click Xpro 2-pc Flat Barrier 84 Hollister New Image FlexWear Convex Barrier with Floating Flange SenSura Click 2-pc Convex Light Barrier or Assura 2-pc Convex Barrier 84-85, Hollister New Image Flextend Convex Barrier with Floating Flange SenSura Click Xpro 2-pc Convex Light Barrier or Assura Extended Wear 2-pc Convex Barrier 85, 95 Hollister New Image 2-pc Drainable Pouch SenSura Click 2-pc Drainable Pouch with EasiClose WIDE Hollister New Image 2-pc Closed Pouch SenSura Click 2-pc Closed Pouch 89 Hollister New Image 2-pc Urostomy Pouch SenSura Click Uro 2-pc Urostomy Pouch Hollister New Image 2-pc High Output Pouch SenSura Click Magnum 2-pc High-Output Pouch 88 Hollister Premier 1-pc Drainable Pouch w/ Flat SoftFlex Barrier SenSura 1-pc Flat Drainable Pouch 119 Hollister Premier 1-pc Drainable Pouch w/ Flat Flextend Barrier SenSura Xpro 1-pc Flat Drainable Pouch 120 Hollister Premier 1-pc Drainable Pouch w/ Convex Flextend Barrier SenSura Xpro 1-pc Convex Light Drainable Pouch 121 Ostomy Care Cross Reference Ostomy Care Cross Reference Brand Competitive Product Line Coloplast Product Page # ConvaTec Esteem synergy AC Urostomy Pouch Assura AC 2-pc Urostomy Pouch 116 ConvaTec AllKare Protective Barrier Wipes Coloplast Prep Protective Skin Barrier Wipes 78 ConvaTec AllKare Adhesive Remover Wipes Brava Adhesive Remover Wipes (No-Sting) 76 ConvaTec Stomahesive Protective Powder Brava Ostomy Powder 77 ConvaTec Eakin Seal / SLIMS Brava Ostomy Care Moldable Ring 4.2 mm / 2.0 mm 75 ConvaTec Eakin Cohesive Barrier Brava Ostomy Care Protective Sheet 77 ConvaTec Stomahesive Skin Barrier Brava Ostomy Care Protective Sheet 77 ConvaTec Stomahesive Paste Ostomy Paste 76 ConvaTec Stomahesive Strips Brava Ostomy Strip Paste 75 ConvaTec ConvaTec Tail Closure Drainable Pouch Clamp 78 ConvaTec Ostomy Appliance Belt (Adjustable) Brava Belt (Adjustable) 75 ConvaTec Eakin Fistula & Wound Pouches Coloplast Fistula & Wound Management System 144 ConvaTec Little Ones 1-pc Drainable Pouch ColoKids 1-pc Pediatric Drainable Pouch 155 ConvaTec Little Ones 1-pc Urostomy Pouch ColoKids 1-pc Pediatric Urostomy Pouch 155 ConvaTec Little Ones 2-pc AC Barrier Assura AC 2-pc Pediatric Barrier 149 Note: or indicate trademarks of ConvaTec. Note: or indicate trademarks of ConvaTec or Hollister Coloplast 203

114 Brand Competitive Product Line Coloplast Product Page # Hollister Adapt Barrier Strips Brava Strip Paste 75 Hollister Adapt Paste Ostomy Paste 76 Hollister Adapt Stoma Powder Brava Powder 77 Hollister Adapt Lubricating Deodorant Brava Lubricating Deodorant 77 Hollister Ostomy Belt Brava Belt (Adjustable) 75 Hollister Solid Skin Barrier Brava Protective Sheet 77 Hollister Skin Gel Protective Dressing Wipes Coloplast Prep Protective Skin Barrier Wipes 78 Hollister Adhesive Remover Wipes Brava Adhesive Remover Wipes (No-Sting) 76 Hollister Medical Adhesive Remover Brava Adhesive Remover Spray (No-Sting) 76 Hollister m9 Odor Eliminator Drops Brava Lubricating Deodorant 77 Hollister Drainable Pouch Clamp Drainable Pouch Clamp 78 Hollister Irrigation Products Irrigation Supplies Hollister Karaya Paste Ostomy Paste 76 Hollister Karaya Powder Coloplast Ostomy Powder 77 Ostomy Care Cross Reference Ostomy Care Cross Reference Brand Competitive Product Line Coloplast Product Page # Hollister Premier 1-pc High Output Pouch SenSura 1-pc Drainable Pouch with Soft Outlet 122 Hollister Premier 1-pc Closed Pouch w/ Flat SoftFlex Barrier SenSura Mio 1-pc Closed Pouch Hollister Premier 1-pc Stoma Cap Assura 1-pc Stoma Cap 136 Hollister Premier 1-pc Urostomy Pouch w/ Flat Flextend Barrier SenSura Xpro 1-pc Urostomy Pouch 124 Hollister Premier 1-pc Urostomy Pouch w/ Convex Flextend Barrier SenSura Xpro 1-pc Convex Light Urostomy Pouch 125 Hollister Premier 1-pc Wound Drainage Collectors SenSura Post-Op 1-pc Pouch with Window or Coloplast Fistula & Wound Management Systems 141, 144 Pouchkins 1-pc Drainable Pouch w/ Flat SoftFlex Barrier & Hollister Lock n Roll Closure ColoKids 1-pc Pediatric Drainable Pouch 155 Hollister Pouchkins 1-pc Urostomy Pouch w/ Flat SoftFlex Barrier ColoKids 1-pc Pediatric Urostomy Pouch 155 Hollister Pouchkins SoftFlex Flat Barrier Assura AC 2-pc Pediatric Barrier or Assura 2-pc Pediatric Barrier 149, 152 Hollister Pouchkins 2-pc Drainable Pouch w/ Lock n Roll Closure Assura AC 2-pc Pediatric EasiClose Pouch or Assura 2-pc Pediatric Drainable Pouch , 152 Hollister Pouchkins 2-pc Closed Pouch Assura 2-pc Pediatric Closed Pouch 152 Hollister Pouchkins 2-pc Urostomy Pouch Assura 2-pc Pediatric Urostomy Pouch 153 Hollister Adapt Barrier Rings Brava Moldable Rings, 4.2 mm 75 Note: or indicate trademarks of Hollister. Note: or indicate trademarks of Hollister Coloplast 205

115 Ostomy Care Cross Reference Brand Competitive Product Line Coloplast Product Page # Hollister CenterPointLock 2-pc Flat Skin Barriers w/ Floating Flange SenSura Click 2-pc Flat Skin Barrier 83 Hollister CenterPointLock 2-pc Convex Skin Barriers w/ Floating Flange SenSura Click 2-pc Convex Light Skin Barrier or Assura 2-pc Convex Skin Barrier 84-85, Hollister CenterPointLock 2-pc Drainable Pouch SenSura Click 2-pc Drainable Pouch Hollister CenterPointLock 2-pc Closed Pouch SenSura Click 2-pc Closed Pouch 89 Hollister CenterPointLock 2-pc Urostomy Pouches SenSura Click Uro 2-pc Urostomy Pouch Hollister CenterPointLock 2-pc Stoma Cap Assura Stoma Cap 101 Hollister Karaya 5 1-pc Drainable Pouch SenSura 1-pc Drainable Pouch 119 Hollister Karaya 5 1-pc Closed Pouch SenSura Mio 1-pc Closed Pouch Hollister Karaya 5 1-pc Urostomy Pouch SenSura Uro 1-pc Urostomy Pouch 124 3M Cavilon No-Sting Barrier Film Wipes Brava Skin Barrier Wipes (No-Sting) 76 3M Cavilon No-Sting Barrier Film Spray Brava Skin Barrier Spray (No-Sting) 76 Note: or indicate trademarks of Hollister or 3M. Brand Competitive Product Line Coloplast Product Page # 3M Avagard D Instant Hand Antiseptic with Moisturizers Isagel 66 3M Cavilon No-Sting Barrier Film Brava Skin Barrier Spray (No-Sting) 76 3M Cavilon Moisturizing Lotion Sween Lotion 60 3M Remover Lotion Coloplast Prep 51 3M Cavilon 3-in-1 Incontinence Care Lotion Baza Cleanse & Protect Lotion 63 3M Cavilon Durable Barrier Cream Baza Protect 62 3M Cavilon Skin Cleanser Bedside-Care Perineal Wash 58 3M Cavilon Moisturizing Body Cream Sween Cream 60 3M Cavilon Extra Dry Skin Cream Atrac-Tain Cream 61 3M 3M Cavilon Moisturizing Lotion Sween Lotion 60 ConvaTec Aloe Vesta Protective Ointment Baza Protect 62 ConvaTec Aloe Vesta Body Wash & Shampoo Gentle Rain Extra Mild 59 ConvaTec Aloe Vesta Cleansing Foam Bedside-Care Foam 58 ConvaTec Aloe Vesta Bathing Cloths Bedside-Care EasiCleanse Bath 58 ConvaTec Aloe Vesta Perineal / Skin Cleanser Bedside-Care 58 ConvaTec Septi-Soft Concentrate Bedside-Care Foam 58 Skin Care Cross Reference Note: or indicate trademarks of 3M or ConvaTec Coloplast 207

116 Brand Competitive Product Line Coloplast Product Page # Covidien Kendall Soothing Ointment Baza Protect 62 Covidien Kendall Moisture Barrier Cream Sween 24 Cream 60 Covidien Kendall Moisturizing Lotion Sween Lotion 60 Covidien Kendall Antifungal Cream Baza Antifungal 64 Dial Corp Antimicrobial Liquid Soap Gentle Rain Antibacterial 59 Donovan Industries MediChoice Hand Sanitizer Isagel 66 GOJO Industries PURELL Instant Hand Sanitizer Isagel 66 GOJO Industries PURELL 2-in-1 Instant Hand Sanitizer Isagel 66 GOJO Industries PURELL Instant Hand Sanitizer Premium Wipes Isagel 66 GOJO Industries Provon Antimicrobial Skin Cleanser Isagel 66 GOJO Industries PURELL Instant Hand Sanitizer with Dermaglycerin System Isagel 66 HEALTHPOINT PROSHIELD Foam & Spray Bedside-Care Foam 58 HEALTHPOINT PROSHIELD Plus Baza Protect 62 HEALTHPOINT MITRAZOL Powder 2% Miconazole Nitrate Powder Micro-Guard Powder 64 Hollister Restore Cleanser & Moisturizer Baza Cleanse & Protect Lotion 63 Hollister Restore DimethiCreme Skin Protectant Sween 24 Cream 60 Skin Care Cross Reference Skin Care Cross Reference Brand Competitive Product Line Coloplast Product Page # ConvaTec Aloe Vesta Perineal / Skin Cleanser Bedside-Care 58 ConvaTec Aloe Vesta Protective Barrier Spray Ostomy Care Skin Barrier Spray (No-Sting) 76 ConvaTec Aloe Vesta Skin Conditioner Sween Cream 60 ConvaTec Aloe Vesta Antifungal Ointment Baza Antifungal 64 ConvaTec Septi-Soft Concentrate Gentle Rain Extra Mild 59 ConvaTec Sensi-Care Perineal / Skin Cleanser Bedside-Care 58 ConvaTec Sensi-Care Protective Barrier Critic-Aid Skin Paste 62 ConvaTec Sensi-Care Moisturizing Body Cream Sween Cream 60 ConvaTec AllKare Protective Barrier Wipes Coloplast Prep 51 ConvaTec AllKare Adhesive Remover Wipes Adhesive Remover (Wipes) 76 ConvaTec Aloe Vesta Cleansing Foam Bedside-Care Foam 58 ConvaTec Aloe Vesta Body Wash & Shampoo Gentle Rain Extra Mild 59 Covidien Kendall 2-in-1 Cleanser Baza Cleanse and Protect Lotion 63 Covidien Kendall Body Wash & Shampoo Bedside-Care Foam 58 Covidien Kendall Antimicrobial Cleanser Bedside-Care Foam 58 Note: or indicate trademarks of ConvaTec or Covidien. Note: or indicate trademarks of Covidien, Dial Corp., GOJO Industries, HEALTHPOINT, or Hollister Coloplast 209

117 Brand Competitive Product Line Coloplast Product Page # Medline Remedy Dimethicone Skin Protectant Sween 24 Cream 60 Medline Remedy Skin Repair Cream Sween 24 Cream 60 Medline Remedy Foaming Body Cleanser Bedside-Care 58 Medline Remedy Nutrashield Critic-Aid Clear 62 Medline Soothe & Cool Cornstarch Body Powder Sween Body Powder 63 Medline Soothe & Cool Extra Thick Moisturizing Cream Sween Cream 60 Medline Soothe & Cool Foaming No-Rinse Perineal Wash Bedside-Care Foam 58 Medline Soothe & Cool Herbal Moisturizing Body Lotion Sween Lotion 60 Medline Soothe & Cool Herbal Moisturizing Shampoo & Body Wash Gentle Rain Extra Mild 59 Medline Soothe & Cool Herbal No-Rinse Shampoo & Body Wash Bedside-Care 58 Medline Soothe & Cool INZO Antifungal Cream Baza Antifungal 64 Medline Soothe & Cool INZO Barrier Cream Baza Protect 62 Medline Soothe & Cool Medseptic Sween Cream 60 Medline Soothe & Cool Moisture Barrier Ointment Baza Clear 62 Medline Soothe & Cool Moisturizing Body Lotion Sween Lotion 60 Medline Soothe & Cool No-Rinse Perineal Wash Bedside-Care 58 Skin Care Cross Reference Skin Care Cross Reference Brand Competitive Product Line Coloplast Product Page # Hollister Restore Moisture Barrier Skin Ointment Baza Clear 62 Johnson & Johnson Johnson s Baby Shampoo Gentle Rain Extra Mild 59 Johnson & Johnson Johnson s Baby Powder Sween Body Powder 63 Johnson & Johnson Johnson s Baby Powder: Pure Cornstarch with Aloe Vera & Vitamin E Sween Body Powder 63 Johnson & Johnson Johnson s Head-to-Toe Baby Wash Gentle Rain Extra Mild 59 Johnson & Johnson Johnson s Baby Lotion Sween Lotion 60 Kimberly-Clark Kimcare Antibacterial Clear Skin Cleanser Gentle Rain Antibacterial 59 Kimberly-Clark Kimcare Eurobath Hair & Body Shampoo Gentle Rain Extra Mild 59 Medela Tender Care Pure Lanolin Sween Cream 60 Medline Remedy Antifungal Powder Micro-Guard Powder 64 Medline Remedy Antifungal Cream Baza Antifungal 64 Medline Remedy Antimicrobial Cleanser Bedside-Care Foam 58 Medline Remedy Calazime Protectant Paste Critic-Aid Skin Paste 62 Medline Remedy Cleansing Body Lotion Baza Cleanse & Protect Lotion 63 Medline Remedy Clear-Aid Skin Protectant Critic-Aid Clear 62 Note: or indicate trademarks of Hollister, Johnson & Johnson, Kimberly-Clark, Medela or Medline. Note: or indicate trademarks of Medline Coloplast 211

118 Skin Care Cross Reference Skin Care Cross Reference Brand Competitive Product Line Coloplast Product Page # Medline Soothe & Cool Shampoo & Body Wash Gentle Rain Extra Mild 59 Medline Soothe & Cool Shampoo & Body Wash Concentrate Gentle Rain Extra Mild 59 Medline Soothe & Cool Skin Cream Sween Cream 60 Medline Soothe & Cool Skin Cream -- unscented Sween Cream 60 Medline Soothe & Cool Skin Paste Baza Protect 62 Medline Carrington Moisture Barrier Cream Baza Protect 62 Medline DiaB Cream Atrac-Tain Cream 61 Medline CarraWash Skin & Perineal Cleanser Bedside-Care Perineal Wash 58 Medline RadiaCare Cream Moisturizing Cream Sween Cream 60 Medline Carrington Moisture Cream with Zinc Baza Protect 62 Medline Carrington Antifungal Cream Baza Antifungal 64 Medline Carrington Skin Balm Sween Lotion 60 Medline MicroKlenz Antiseptic Wound Cleanser Sea-Clens 53 Medline UltraKlenz Wound & Skin Cleanser Sea-Clens 53 Medline Radiacare Wound Klenz Sea-Clens 53 Note: or indicate trademarks of Medline. Brand Competitive Product Line Coloplast Product Page # Medline Soothe & Cool Moisturizing Body Lotion Sween Lotion 60 Medline Carrington Enzymatic Odor Eliminator Hex-On 66 Medline Epi-Clenz Hand Sanitizer Isagel 66 Medline DiaB Klenz Wound & Skin Cleanser Sea-Clens 53 Medline CarraKlenz Wound & Skin Cleanser Sea-Clens 53 No-Rinse Laboratories No-Rinse Shampoo Gentle Rain Extra Mild 59 PDI Adhesive Tape Remover Brava Adhesive Remover (Wipes) 76 PDI Sani-Hands ALC Instant Hand Sanitizing Wipes Isagel 66 PDI BZK Antiseptic Towelettes Isagel 66 PDI Sani-Hands ALC Pocket Pack Isagel 66 PDI Hygienic Cleansing Towelettes Isagel 66 Sage Comfort Shield Barrier Cloths Baza Cleanse & Protect Lotion 63 Sage Comfort Bath Cleansing Washcloths Bedside-Care EasiCleanse Bath 58 Sage Essential Bath Cleansing Washcloths Bedside-Care EasiCleanse Bath 58 Sage Fragrance-Free Essential Bath Cleansing Washcloths Bedside-Care EasiCleanse Bath 58 Note: or indicate trademarks of Medline, No-RInse Laboratories, PDI, or Sage Coloplast 213

119 Skin Care Cross Reference Skin Care Cross Reference Brand Competitive Product Line Coloplast Product Page # Sage Deodorant Essential Bath Cleansing Washcloths Bedside-Care EasiCleanse Bath 58 Sage Comfort Shield Incontinence Wipe Baza Cleanse & Protect Lotion 63 Sage Comfort Shield Perineal Washcloth w/ Dimethicone Baza Cleanse & Protect Lotion 63 Smith & Nephew SECURA Antifungal Cream -- Extra Thick Baza Antifungal 64 Smith & Nephew SECURA Antifungal Greaseless Baza Antifungal 64 Smith & Nephew SECURA Dimethicone Protectant Sween 24 Cream 60 Smith & Nephew SECURA Extra Protective Cream (EPC) Critic-Aid Skin Paste 62 Smith & Nephew SECURA Moisturizing Cleanser Bedside-Care 58 Smith & Nephew SECURA Moisturizing Cream Sween Cream 60 Smith & Nephew SECURA Moisturizing Lotion Sween Lotion 60 Smith & Nephew SECURA Personal Cleanser Bedside-Care 58 Smith & Nephew SECURA Protective Cream Baza Protect 62 Smith & Nephew SECURA Protective Ointment Baza Clear 62 Smith & Nephew SECURA Total Body Foam Cleanser Bedside-Care Foam 58 Smith & Nephew UNICARE Moisturizing Lotion Sween Lotion 60 Note: or indicate trademarks of Sage or Smith & Nephew. Brand Competitive Product Line Coloplast Product Page # Smith & Nephew UNIDERM Moisturizing Cream Sween Cream 60 Smith & Nephew Skin-Prep Protective Dressing Pump Spray Brava Skin Barrier Spray (No-sting) 76 Smith & Nephew NO-STING SKIN-PREP Brava Skin Barrier Wipes 76 Smith & Nephew UNI SALVE Protective Ointment Baza Clear 62 Smith & Nephew REMOVE Adhesive Remover Wipes Brava Adhesive Remover Wipes 76 Smith & Nephew REMOVE Adhesive Remover Brava Adhesive Remover Spray (No-sting) 76 Steris Cal Stat Antiseptic Handrub Plus Isagel 66 Note: or indicate trademarks of Smith & Nephew or Steris Coloplast 215

120 Brand Competitive Product Line Coloplast Product Page # ConvaTec DuoDerm Gel Purilon Gel 53 Covidien/Kendall COPA Biatain Foam Dressing Covidien/Kendall Ultec Pro Comfeel Plus Ulcer or Comfeel Plus Sacral Dressing Covidien/Kendall Ultec Comfeel Plus Ulcer Dressing 51 Covidien/Kendall Curafil * Purilon Gel 53 Covidien/Kendall Curasorb * Biatain Alginate Dressing 49 Ferris Polymem Foam Biatain Foam Dressing Hollister Restore Foam Dressing with TRIACT Technology Biatain Soft-Hold Foam Dressing 46 Hollister Restore Foam Dressing with Silver and TRIACT Technology Biatain Ag Foam Dressing Hollister Restore Calcium Alginate Dressing Biatain Alginate Dressing 49 Hollister Restore Calcium Alginate Dressing Silver Biatain Alginate Ag Dressing with Silver 50 Hollister Restore Hydrogel Dressing Purilon Gel 53 Hollister Restore Hydrocolloid Dressing Comfeel Plus Hollister Restore Extra Thin Hydrocolloid Dressing Comfeel Plus Transparent Dressing 51 Smith & Nephew Algisite M Biatain Alginate Dressing 49 Wound Care Cross Reference Wound Care Cross Reference Brand Competitive Product Line Coloplast Product Page # 3M Tegaderm Hydrocolloid Dressings Comfeel Plus Ulcer Dressing 51 3M Tegaderm Alginate Dressings Biatain Alginate Dressing 49 3M Tegaderm Alginate Ag Dressings Biatain Alginate Ag Dressing with SIlver 50 3M Tegaderm Foam Dressings Biatain Foam Dressing M Tegaderm Hydrogel Purilon Gel 53 3M Tegaderm Wound Cleanser Sea-Clens Wound Cleanser 53 ConvaTec Aquacel Hydrofiber Dressing Biatain Alginate Dressing 49 ConvaTec Aquacel Ag Hydrofiber Dressing Biatain Alginate Ag Dressing with SIlver 50 ConvaTec Kaltostat Calcium Sodium Alginate Dressing Biatain Alginate Dressing 49 ConvaTec Versiva XC Gelling Foam with Hydrofiber Technology Biatain Foam Dressings ConvaTec CombiDERM ACD Comfeel Plus Ulcer or Comfeel Plus Triangle Dressing 51 ConvaTec DuoDERM Comfeel Plus ConvaTec DuoDerm Extra Thin Comfeel Plus Transparent Dressing 51 ConvaTec SAF-Clens Wound Cleanser Sea-Clens Wound Cleanser 53 ConvaTec Shur-Clens Wound Cleanser Sea-Clens Wound Cleanser 53 ConvaTec DuoDerm Paste Triad Hydrophilic Wound Dressing 53 Note: or indicate trademarks of 3M or ConvaTec. Note: or indicate trademarks of ConvaTec, Covidine/Kendall, Ferris, Hollister or Smith & Nephew Coloplast 217

121 Wound Care Cross Reference Brand Competitive Product Line Coloplast Product Page # Hollister Restore Wound Cleanser Sea-Clens Wound Cleanser 53 Medline Maxorb Extra Alginate Dressing Biatain Alginate Dressing 49 Medline Maxorb Extra AG Alginate Dressing Biatain Alginate Ag Rope Dressing 50 Medline Optifoam Biatain Foam Dressings Medline Optifoam Ag Biatain Ag Foam Dressings Medline Optifoam Gentle Biatain Silicone Foam Dressing 45 Medline Exuderm Odorshield Comfeel Plus Ulcer or Comfeel Plus Sacral Dressing Medline Skintegrity Hydrogel Woun Dres Collagen Hydrogel 53 Mölnlycke Melgisorb Alginate Dressing Biatain Alginate Dressing 49 Mölnlycke Mepilex Biatain Silicone Foam Dressing 45 Mölnlycke Lyofoam Biatain Foam Dressing Mölnlycke Hypergel Purilon Gel 53 Smith & Nephew Algisite M Calcium Alginate Dressing Biatain Alginate Ag Rope Dressing 50 Smith & Nephew Acticoat Absorbent Biatain Alginate Ag Dressing or Biatain Ag Foam Dressing 47, 50 Note: or indicate trademarks of Hollister, Medline, Mölnlycke, or Smith & Nephew. Brand Competitive Product Line Coloplast Product Page # Smith & Nephew Allevyn Gentle Biatain Silicone Foam Dressing 45 Smith & Nephew Replicare Comfeel Plus Ulcer, Sacral or Transparent Dressings Smith & Nephew Solosite Gel Woun Dres Collagen Hydrogel 53 Smith & Nephew Intrasite Gel Purilon Gel 53 Systagenix Silvercel Antimicrobial Alginate Dressing Biatain Alginate Ag Dressing 50 Systagenix Tielle Foam Biatain Foam Dressing Systagenix Nu-Derm Hydrocolloid Dressing Comfeel Plus Ulcer, Sacral or Transparent Dressings Systagenix Nu-Derm Alginate Wound Dressing Biatain Soft Alginate Dressing 49 Note: or indicate trademarks of Smith & Nephew or Systagenix. Wound Care Cross Reference Coloplast 219

122 Medicare Utilization Continence The information in this document is informational only, general in nature, and does not cover all payers rules or policies. This information was obtained from third party sources and is subject to change without notice as a result of changes in reimbursement regulations and payer policies. This document represents no promise or guarantee by Coloplast Corp. regarding coverage or payment for products or procedures by CMS or other payers. Providers are responsible for reporting the codes that most accurately describe the patient s medical condition, procedures performed and products used. Providers should check Medicare bulletins, manuals, program memoranda and Medicare guidelines to ensure compliance with Medicare requirements. Inquires should be directed to the appropriate other payer for non-medicare coverage situations. Medicare Utilization - Continence Care Usual maximum limits for some products from the Medicare Local Coverage Determinations (LCD) are shown below. Suppliers should examine their applicable Medicare contractor policies for full examination of policy requirements, including medical necessity and documentation. HCPCS* Description Usual Maximum A4310 Insert tray without drainage bag and without catheter (accessories only) 1 insertion tray per episode of indwelling catheter insertion A4311 A4314 A4332 A4349 A4351 A4352 A4353 A4354 A4357 A4358 Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.) Insertion tray with drainage bag with indwelling catheter foley type, twoway latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.) Lubricant, individual sterile packet, each Male external catheter, with or without adhesive, disposable, each Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each Intermittent urinary catheter; coudé (curved) tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.) each Intermittent urinary catheter, with insertion supplies Insertion tray with drainage bag but without catheter Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each 1 insertion tray per episode of indwelling catheter insertion 1/month 200/month 35/month 200/month 200/month 200/month 1/month 2/month 2/month Medicare Utilization - Ostomy Medicare Allowables based on Standard Quality of Ostomy Supplies. The amount of ostomy supplies varies by patient based on the type of ostomy, its location, its construction, and the condition of the peristomal skin. The table below shows the maximum number of items that are usually medically necessary for patients with ostomies. It may be more or less depending on the factors that affect the frequency of barrier and pouch change. The medical necessity for a greater quantity of supplies must be clearly documented in the patient s medical record (physician s signed and dated order). HCPCS* Description Usual Maximum A4357 Bedside drainage bag 2 ea/month A4361 Ostomy faceplate 3 ea/6 months A4362 Skin barrier, solid, 4x4 or equipment* 20 ea/month A4367 Ostomy belt, each 1 ea/month A4369 Skin barrier, liquid, per ounce 2 oz./month A4371 Skin barrier powder, per ounce 10 oz./6 months A4394 Ostomy pouch liquid deodorant 8 oz./month A4397 Irrigation supply sleeve, each 4 ea/month A4398 Irrigation bag, each 2 ea/6 months A4399 Irrigation cone/catheter with or 2 ea/6 months without brush A4404 Ostomy ring, each 10 ea/month A4405 Ostomy paste (non-pectin based), 4 oz./month per ounce A4406 Ostomy paste (pectin based), per 4 oz./month ounce A4414 Two-piece ostomy skin barrier with 20 ea/month flange, standard wear, NON- CONVEX (4x4 inches or smaller) A4415 Two-piece ostomy skin barrier, with 20 ea/month flange, standard wear, NON- CONVEX, greater than 4 x 4 A4416 One-piece ostomy closed pouch 60 ea/month with filter, NON-CONVEX A4417 One-piece ostomy closed pouch 60 ea/month with filter, CONVEX A4419 Two-piece ostomy closed pouch 60 ea/month with filter for non-locking system A4421 Ostomy supply, miscellaneous *no maximum listed A4423 Two-piece ostomy closed pouch 60 ea/month with filter for locking system A4424 One-piece ostomy drainable pouch 20 ea/month with filter A4425 Two-piece ostomy drainable pouch 20 ea/month with filter for non-locking system A4426 Two-piece ostomy drainable pouch 20 ea/month without filter for locking system A4427 Two-piece ostomy drainable pouch 20 ea/month with filter for locking system A4433 Two-piece ostomy urinary pouch 20 ea/month for locking system A5055 Stoma cap 31 ea/month Medicare Utilization Ostomy A5061 One-piece ostomy drainable pouch 20 ea/month * Elastic Barrier Strips: 40 strips/month Coloplast 221

123 Medicare Utilization Ostomy HCPCS* Description Usual Maximum A5063 Two-piece ostomy drainable pouch 20 ea/month for barrier with flange, non-filter A5071 One-piece ostomy urinary pouch 20 ea/month A5073 Two-piece ostomy urinary pouch 20 ea/month A5120 Skin barrier wipes or swabs, each 150 ea/6 months A5121 Solid skin barrier, 6x6 or equivalent, 20 ea/month each A5122 Solid skin barrier, 8x8 or equivalent, each 20 ea/month Medicare Utilization - Wound Care Usual maximum limits from the Medicare Local Coverage Determinations (LCD) are shown below. Suppliers should examine their applicable Medicare contractor policies for full examination of policy requirements, including medical necessity and documentation. HCPCS* Description Usual Maximum A6196 Alginate dressing < 16 sq. in. Once per Day A6197 Alginate dressing >16 < 48 sq. in. Once per Day A6199 Alginate dressing wound filler, per 6 Once per Day inches A6209 Sterile foam dressing < 16 sq. in. without border Up to 3 times/ week A6210 Sterile foam dressing >16 < 48 sq. in. without border A6211 Sterile foam dressing > 48 sq. in. without border A6212 Sterile foam dressing < 16 sq. in with border A6213 Sterile foam dressing >16 < 48 sq. in. with border A6234 Sterile hydrocolloid dressing < 16 sq. in. without border A6235 Sterile hydrocolloid dressing >16 < 48 sq. in. without border A6236 Sterile hydrocolloid dressing > 48 sq. in. without border A6237 Sterile hydrocolloid dressing < 16 sq. in.with border A6238 Sterile hydrocolloid dressing >16 < 48 sq. in. with border A6239 Sterile hydrocolloid dressing > 48 sq. in. with border A6240 Sterile hydrocolloid dressing filler, paste, per ounce A6248 Sterile hydrogel dressing gel, filler, per ounce Up to 3 times/ week Up to 3 times/ week Up to 3 times/ week Up to 3 times/ week Up to 3 times/ week Up to 3 times/ week Up to 3 times/ week Up to 3 times/ week Up to 3 times/ week Up to 3 times/ week Up to 3 times/ week Must substantiate medical necessity if > 3 fl. oz. per wound/30 days A6260 Sterile wound cleanser, any type/size Not covered under the surgical dressing benefit A6203 Medicare Utilization Wound Care A6204 A6206 A6207 A6251 A Coloplast 223

124 HCPCS Codes Disclaimer Coloplast Corporation makes no warranties or guarantees, expressed or implied, concerning the accuracy or appropriateness for any particular purpose of the information contained in this guide. It is provided for informational purposes only. It is neither legal advice nor advice about how to code, complete or submit any particular claim for payment or to increase or maximize reimbursement by any third party payer. Although we supply this information to the best of our current knowledge, reimbursement policy changes frequently change, often without notice. Where HCPCS codes are listed for individual products, they have been verified or are in the process of being verified with the PDAC, the contractor charged with assigning codes to products billed to the Medicare program. Recommendations made by the PDAC are intended to provide guidance for Medicare claims only. Although, providers should be aware that non-medicare payers may follow the PDAC recommendations as well. Existence of or assignment to a particular code with or without an associated payment amount does not guarantee coverage or payment. Because requirements for coverage, codes, and payment vary from payer to payer, providers should always verify specific requirements with each payer prior to submitting claims for payment. Ultimately, the decision for assigning codes and billing individual claims is the responsibility of the provider. HCPCS Codes A4310 Insert tray without drainage bag and without catheter (accessories only) A4311 Insertion tray without drainage bag with indwelling catheter; Foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4320 Irrigation tray with bulb or piston syringe, any purpose A4322 Irrigation syringe, bulb or piston, each A4331 Extension drainage tubing, any type, any length, with connector/adapter, for use with urinary leg bag or urostomy pouch, each A4332 Lubricant, individual sterile packet, each A4334 Urinary catheter anchoring device, leg strap, each A4335 Incontinence supply; miscellaneous A4338 Indwelling catheter; Foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4340 Indwelling catheter, specialty type, (e.g., coudé, mushroom, wing, etc.), each A4344 Indwelling catheter; Foley type, two-way, all silicone, each A4346 Indwelling catheter; Foley type, three-way for continuous irrigation, each A4349 Male external catheter, with or without adhesive, disposable, each A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4352 Intermittent urinary catheter; coudé (curved) tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4353 Intermittent urinary catheter, with insertion supplies HCPCS Codes A4354 A4357 A4358 A4361 Insertion tray with drainage bag but without catheter Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each Ostomy faceplate, each A4362 Solid skin barrier; solid, 4x4 or equivalent; each A4367 Ostomy belt, each A4368 Ostomy filter, any type, each A4369 Skin barrier liquid, per ounce A4371 Skin barrier powder, per ounce A4373 Skin barrier with flange, CONVEX A4385 A4388 A4389 Extended wear barrier, solid 4 x 4" or equivalent, each One-piece ostomy drainable pouch with extended wear barrier, FLAT One-piece ostomy drainable pouch with barrier, CONVEX A4390 A4391 A4392 One-piece drainable pouch with extended wear, CONVEX One-piece urinary pouch with extended wear barrier, FLAT One-piece urinary pouch with standard wear barrier, CONVEX Coloplast 225

125 HCPCS Codes HCPCS Codes A4393 One-piece urinary pouch with extended wear barrier, CONVEX A4394 Ostomy pouch liquid deodorant; per fluid ounce A4397 Irrigation supply sleeve, each A4398 Irrigation bag, each A4399 Irrigation cone/catheter with or without brush A4404 Ostomy ring, each A4405 Ostomy paste (non-pectin based), per ounce A4406 Ostomy paste (pectin based), per ounce A4407 Two-piece ostomy skin barrier with flange, extended wear, CONVEX (4x4 inches or smaller) A4408 Two-piece ostomy skin barrier with flange, extended wear CONVEX, greater than 4x4 A4409 Two-piece ostomy skin barrier with flange, extended wear (4x4 inches or smaller) A4410 Two-piece ostomy skin barrier with flange, extended wear, FLAT, greater than 4x4 A4414 Two-piece ostomy skin barrier with flange, standard wear, FLAT (4x4 inches or smaller) A4415 Two-piece ostomy skin barrier, with flange, standard wear, NON-CONVEX, greater than 4x4 A4416 One-piece ostomy closed pouch with filter, FLAT A4417 One-piece ostomy closed pouch with filter, CONVEX A4419 Two-piece ostomy closed pouch with filter for nonlocking system A4421 Ostomy supply, miscellaneous A4423 Two-piece ostomy closed pouch with filter for locking system A4424 One-piece ostomy drainable pouch with filter A4425 Two-piece ostomy drainable pouch with filter for nonlocking system A4426 Two-piece ostomy drainable pouch without filter for locking system A4427 Two-piece ostomy drainable pouch with filter for locking system A4433 Two-piece ostomy urinary pouch for locking system A4455 Adhesive remover or solvent (for tape, cement or other adhesive), per ounce A4456 Adhesive remover, wipes, any type, each A5055 Stoma cap A5056 One-piece extended wear drainable pouch with filter, FLAT A5057 One-piece extended wear drainable pouch with filter, CONVEX A5061 One-piece ostomy drainable pouch A5063 Two-piece ostomy drainable pouch for barrier with flange A5071 One-piece ostomy urinary pouch with standard wear barrier, FLAT A5073 Two-piece ostomy urinary pouch for barrier with nonlocking flange A5112 Urinary bag, leg or abdomen; latex A5113 Leg strap; latex, replacement only, per set A5114 Leg strap, foam or fabric, replacement only, per set HCPCS Codes A5071 One-piece ostomy urinary pouch A5073 Two-piece ostomy urinary pouch A5112 Urinary bag, leg or abdomen; latex A5113 Leg strap; latex, replacement only, per set A5114 Leg strap, foam or fabric, replacement only, per set A5120 Skin barrier wipes or swabs, each A5121 Solid skin barrier, 6x6 or equivalent, each A5122 Solid skin barrier, 8x8 or equivalent, each A5131 Appliance cleaner, incontinence and ostomy appliances, per 16 ounces A6154 Wound pouch, each A6196 Alginate dressing < 16 sq. in. A6197 Alginate dressing >16 < 48 sq. in. A6199 Alginate dressing wound filler, per 6 inches A6209 Sterile foam dressing < 16 sq. in. without border A6210 Sterile foam dressing >16 < 48 sq. in. without border A6211 Sterile foam dressing > 48 sq. in. without border A6212 Sterile foam dressing < 16 sq. in. with border A6213 Sterile foam dressing >16 < 48 sq. in. with border A6234 Sterile hydrocolloid dressing < 16 sq. in. without border A6235 Sterile hydrocolloid dressing >16 < 48 sq. in. without border A6236 Sterile hydrocolloid dressing > 48 sq. in. without border A6237 Sterile hydrocolloid dressing < 16 sq. in. with border A6238 Sterile hydrocolloid dressing >16 < 48 sq. in. with border A6239 Sterile hydrocolloid dressing > 48 sq. in. with border A6240 Sterile hydrocolloid dressing filler, paste, per ounce A6248 Sterile hydrogel dressing gel, filler, per fluid ounce A6260 Wound cleanser any type/size Coloplast 227

126

127 Code Page # Code Page # Code Page # Continence , , , , , , , , , , , , , , , , , , , , , B... 25, H H H H H , H , H H H , , , H H , H , 36, H , H... 23, , 36, H... 23, , H... 23, , H... 23, , , , , , Index Coloplast 229

128 Index Code Page # Code Page # Code Page # , , , , , 38, , 37, , 37, , , , , 37, , , , , , , , , , 40, , H , H , H , H , , , 36, , , , S... 17, S... 17, S... 17, S... 17, S S S... 17, S... 17, S... 17, , S , S S S S S... 17, S , , , , , 16, , , , , R or L R or L AA 6C AA 6C AA 6C AA 6C AA AA , 32 AA , 32 AA , 32 AA , 32 AA , 32 Code Page # Code Page # Code Page # AA , 32 AA , 32 AA , 32 AA , 32 AA AA AA , 32, 42 AA , 32, 42 AA , 32, 42 AA , 32, 42 AA , 33, 42 AA , 33, 42 AA , 42 AA AA AA AA AA AA AA AA AA CS CS CS CS CS CS UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UT UT UT Ostomy H , , 171, , , , Index 230 Coloplast Coloplast 231

129 Index Code Page # Code Page # Code Page # , , 182, , , , , , , , , , , , , , , K , , , , , 182, , 182, , 182, Code Page # Code Page # Code Page # , , , , , , , , , , , , , Index 232 Coloplast Coloplast 233

130 Index Code Page # Code Page # Code Page # , , , , , , , , , Code Page # Code Page # Code Page # , , 179, , , 179, 180, , , 164, , , , , , , , , , , , , 164 Skin Care , 76, , , , , , 77, , , , 77, Index 234 Coloplast Coloplast 235

131 Index Code Page # Code Page # Code Page # , 76, , , , , 76, , , , , 76, , 76, , , , , Wound Care , , , , , , Coloplast

132 Coloplast develops products and services that make life easier for people with very personal and private medical conditions. Working closely with the people who use our products, we create solutions that are sensitive to their special needs. We call this intimate healthcare. Our business includes ostomy care, urology and continence care and wound and skin care. We operate globally and employ more than 8,500 people. For additional information, contact us at: Coloplast Corp. Minneapolis, MN The Coloplast logo is a registered trademark of Coloplast A/S Coloplast Corp. All rights reserved. Velcro is a registered trademark of Velcro Industries B.V. M1170N 09.14